Individual provider Active NPI

Kristy Renee Lamar, LCSW

  • Clinical Social Worker
  • Newbury Park, CA
National Provider Identifier
1780352070
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
86304 Issued in CA
Practice address
139 N Jerome Ave
Newbury Park, CA 91320-3433
Phone
(805) 402-8748
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 86304 CA Primary

Addresses

Primary practice location

139 N Jerome Ave
Newbury Park, CA 91320-3433

Mailing address

PO Box 160
Newbury Park, CA 91319-0160
Phone (805) 402-8748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911002390 CA Practitioner - Clinical Social Worker 9830632801 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for New Directions, Inc. CurrentSince Jun 14, 2024 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Apr 9, 2025 Accepting new patients
Stephen M Pumphrey Licensed Clinical Social Workers Inc Clinical PastSince Dec 25, 2018 Accepting new patients

Locations

23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (949) 460-5320

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

16600 Sherman Way
Ste 270
Van Nuys, CA 91406

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1780352070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913190160",
            "telephone_number": "805-402-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N JEROME AVE",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203433",
            "telephone_number": "805-402-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMAR",
        "first_name": "KRISTY",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

Verify at the official NPI Registry.