Active NPI
Kelsey Sillerud, LCSW
- Clinical Social Worker
- Van Nuys, CA
National Provider Identifier
1740682897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 82333
- Practice address
- 6305 Woodman Ave
Van Nuys, CA 91401-2346 - Phone
- (818) 908-4999
- NPI assigned
- Sep 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 82333 | CA | Primary |
Addresses
Primary practice location
6305 Woodman Ave
Van Nuys, CA 91401-2346
Mailing address
6305 Woodman Ave
Van Nuys, CA 91401-2346
Phone (818) 908-4999
Other practice location 1
11565 Laurel Canyon Blvd.
Suite 116
Mission Hills, CA 91345
Phone (818) 361-5030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1740682897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6305 WOODMAN AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914012346",
"telephone_number": "818-908-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6305 WOODMAN AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914012346",
"telephone_number": "818-908-4999"
}
],
"practiceLocations": [
{
"address_1": "11565 Laurel Canyon Blvd.",
"address_2": "Suite 116",
"address_purpose": "LOCATION",
"city": "Mission Hills",
"state": "CA",
"postal_code": "91345",
"country_code": "US",
"telephone_number": "818-361-5030",
"fax_number": "818-361-1764",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SILLERUD",
"first_name": "KELSEY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-19",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "82333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.