Active NPI
Mary A Kerr, L.C.S.W.
- Clinical Social Worker
- Huntington Beach, CA
National Provider Identifier
1952646887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28650
- Practice address
- 16152 Beach Blvd Ste 200
Huntington Beach, CA 92647-3869 - Phone
- (714) 913-3129
- NPI assigned
- Dec 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28650 | CA | Primary |
Addresses
Primary practice location
16152 Beach Blvd Ste 200
Huntington Beach, CA 92647-3869
Mailing address
26751 Vista del Mar
Dana Point, CA 92624-1512
Phone (714) 913-3129
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28650 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1952646887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26751 VISTA DEL MAR",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926241512",
"telephone_number": "714-913-3129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16152 BEACH BLVD STE 200",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473869",
"telephone_number": "714-913-3129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "MARY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-04",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "28650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.