Michele Lynn Kellogg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS20190 Issued in CA

Practice address

163 2ND St
Woodland, CA 95695-3316

Phone

(530) 845-0744

Fax

(530) 668-9194

NPI assigned

Dec 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821152794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 2ND ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953316",
            "telephone_number": "530-845-0744",
            "fax_number": "530-668-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 2ND ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953316",
            "telephone_number": "530-845-0744",
            "fax_number": "530-668-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Kasiarz, HIS
• Amanpreet Kaur, M.D.
• Gurpreet Kaur, BCBA
• Harinder Kaur, M.D.
• Susan Joyce Keever, CAS
• Allison Kelly
• Misty R Kelly, SUDCC
• Amber Rose Kemp
• Curtis Ketsenburg, LCSW
• Sonia Kaur Khabra

• Clinical Social Worker in Woodland, CA
• Providers in Woodland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.