Kelly Wu

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

123377 Issued in CA

Practice address

4001 Inglewood Ave
BLDG 101, Suite 681
Redondo Beach, CA 90278

Phone

(310) 897-3533

NPI assigned

Apr 14, 2025

Sex

Female

Sole proprietor

No

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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1932994449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 INGLEWOOD AVE",
            "address_2": "BLDG 101, SUITE 681",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90278",
            "telephone_number": "310-897-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 INGLEWOOD AVE",
            "address_2": "BLDG 101, SUITE 681",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90278",
            "telephone_number": "310-897-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "123377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Isabel Wood, L.AC.
• Craig Dennis Woods, D.D.S.
• Nancy Jane Worthen, M.D.
• Henry Wu, MD
• Jamie W Wu, WHNP
• Wanda Lou Wyatt, MFTI
• Xenon Anesthesia of Texas PLLC
• Christine Rita Yacoub, PHARMD
• Michael J Yamase
• Dorna Yamini, NP

• Clinical Social Worker in Redondo Beach, CA
• Providers in Redondo Beach, 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 Apr 14, 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.