Individual provider Active NPI

Kelli Blanchfield, L.C.S.W.

  • Clinical Social Worker
  • El Monte, CA
National Provider Identifier
1992874341
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17218 Issued in CA
Practice address
10953 Ramona Blvd
Room 1298
El Monte, CA 91731-2629
Phone
(626) 575-7398
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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 17218 CA Primary

Addresses

Primary practice location

10953 Ramona Blvd
Room 1298
El Monte, CA 91731-2629

Mailing address

10953 Ramona Blvd
1298
El Monte, CA 91731-2629
Phone (626) 575-7398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071214000173 CA Practitioner - Clinical Social Worker 7315037330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17218CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Oct 5, 2013 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Oct 5, 2013 Accepting new patients

Locations

10953 Ramona Blvd
Rm 1298
El Monte, CA 91731
Phone (626) 575-7398

10953 Ramona Blvd
El Monte, CA 91731
Phone (626) 434-2500

10953 Ramona Blvd
#1298
El Monte, CA 91731

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

550 S Vermont Ave
Fl 6
Los Angeles, CA 90020
Phone (213) 351-7284

10605 Balboa Blvd
Ste 100
San Fernando, CA 91344
Phone (818) 832-2400

Organizations & group practices 3

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1992874341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10953 RAMONA BLVD",
            "address_2": "1298",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312629",
            "telephone_number": "626-575-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10953 RAMONA BLVD",
            "address_2": "ROOM 1298",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312629",
            "telephone_number": "626-575-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHFIELD",
        "first_name": "KELLI",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "17218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.