Project Kinship

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28144 Issued in CA

Legal business name

PROJECT KINSHIP

Practice address

1535 E 17TH St
Santa Ana, CA 92705-8514

Phone

(714) 941-8009

NPI assigned

Jan 25, 2018

Organization subpart

Yes

Parent organization

CHARITABLE VENTURES OF ORANGE COUNTYAs reported in NPPES

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

Authorized official

Name

Ted Kim

Title

Chief Operations Officer

Phone

(714) 597-6630

Specialties & licenses 1

Addresses

Tax ID family

Project Kinship2 organizations share this tax ID, including this one

Part of

Project Kinship

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Charitable Ventures of Orange County

  • Mental Health Counselor
  • Orange, CA
  • NPI 1578240032
  NPD tax ID

Locations

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1821596750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 MACARTHUR BLVD STE 510",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058514",
            "telephone_number": "714-941-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT KINSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARITABLE VENTURES OF ORANGE COUNTY",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "714-597-6630"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Probe Clinical Research Corporation
• Program for Torture Victims
• Prohealth Partners a Medical Group
• Prohealth Partners a Medical Group Inc
• Project Kinship
• Proof Positive ABA Therapies
• Proof Positive ABA Therapies
• Prospect Northwest Orange County Medical Group Inc.
• Prospect Professional Care Medical Group, Inc.
• Caroline Elizabeth Prosser, OTR/L

• Clinical Social Worker in Santa Ana, CA
• Providers in Santa Ana, 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 Jan 25, 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.

Verify at the official NPI Registry.