Kenia Yasmin Flores, ACSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

550 Quarry Rd
San Carlos, CA 94070-6221

Phone

(510) 679-4767

NPI assigned

Mar 5, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1881087559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 QUARRY RD",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940706221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 QUARRY RD",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940706221",
            "telephone_number": "510-679-4767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Broadway St",
            "address_2": "suite 70",
            "address_purpose": "LOCATION",
            "city": "King City",
            "state": "CA",
            "postal_code": "939302865",
            "country_code": "US",
            "telephone_number": "831-386-6870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "KENIA",
        "middle_name": "YASMIN",
        "credential": "ACSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "65607",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Ferrari
• Tiffany Denise Marie Fields
• Michelle M Fiore, MD
• Cynthia Graciela Flores
• Felicitas Maria Flores
• Matthew Martin Flores
• Amy Fong, FNP-BC
• Susan A Fong, MD
• Fredrick Wilson Fontelar
• Julie Haskell Ford, MFTI

• Clinical Social Worker in San Carlos, CA
• Providers in San Carlos, 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 31, 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.