Individual provider Active NPI

Kyoko Mori

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1891663068
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
131936 Issued in CA
Practice address
4420 Hotel Circle CT Ste 350
San Diego, CA 92108-3435
Phone
(619) 500-4637
NPI assigned
Oct 28, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 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 131936 CA Primary

Addresses

Primary practice location

4420 Hotel Circle CT Ste 350
San Diego, CA 92108-3435

Mailing address

3940 7TH Ave Unit 205
San Diego, CA 92103-3287

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

State licenses

LicenseStateTypeSpecialty
131936CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
HM Psychological Services, Inc. CurrentSince Nov 8, 2025 Accepting new patients

Locations

4420 Hotel Circle Ct
Ste 350
San Diego, CA 92108
Phone (619) 500-4637

Organizations & group practices 1

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": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1891663068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 7TH AVE UNIT 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 HOTEL CIRCLE CT STE 350",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083435",
            "telephone_number": "619-500-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORI",
        "first_name": "KYOKO",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "131936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.