Individual provider Active NPI

Kelly Walker, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1922133180
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7953C Issued in NV
Practice address
5665 Wilshire Blvd Ste 1210
Los Angeles, CA 90036-3710
Phone
(323) 489-0205
NPI assigned
Feb 21, 2007
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 23907 CA
Clinical Social Worker 1041C0700X 7953C NV Primary

Addresses

Primary practice location

5665 Wilshire Blvd Ste 1210
Los Angeles, CA 90036-3710

Mailing address

3806 Lorado Way
View Park, CA 90043-1626
Phone (323) 489-0205

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
LCS 23907CAMDClinical Social Worker
7953CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neemabloom Therapy Clinical Current Accepting new patients
Kamili Life, Inc. Clinical CurrentSince Jun 22, 2021 Accepting new patients

Locations

5665 Wilshire Blvd
Los Angeles, CA 90036
Phone (209) 372-7025

5757 Wilshire Blvd
Ste 635
Los Angeles, CA 90036
Phone (323) 791-4107

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1922133180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 LORADO WAY",
            "city": "VIEW PARK",
            "state": "CA",
            "postal_code": "900431626",
            "telephone_number": "323-489-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 WILSHIRE BLVD STE 1210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363710",
            "telephone_number": "323-489-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KELLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 23907",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7953C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.