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KELLY WILLARD
NPI 1013382787
Case Manager/Care Coordinator in Canoga Park, CA

Active since December 07, 2015
22110 ROSCOE BLVD, SUITE 204, CANOGA PARK, CA 91304(818) 713-8700 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Willard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY WILLARD (NPI 1013382787) is an individual case manager/care coordinator provider in Canoga Park, California and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1013382787
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKELLY WILLARD
Location Address22110 ROSCOE BLVD, SUITE 204Canoga Park, CA 91304-3845
Mailing Address22110 Roscoe Blvd, Suite 204Canoga Park, CA 91304-3845 · (818) 713-8700
Phone(818) 713-8700
Sole ProprietorYes
Enumeration DateDecember 7, 2015
✔ NPI 1013382787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
22110 ROSCOE BLVD, Canoga Park, CA 91304
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MY GASTRO WELLNESS. LLC
Internal Medicine (Gastroenterology)
22110 ROSCOE BLVD, SUITE 201
CANOGA PARK, CA 91304
Los Angeles County (747) 204-4177
VALLEY FOOT HEALTH CTR INC
Podiatrist
22110 ROSCOE BLVD, #201
CANOGA PARK, CA 91304
Los Angeles County (818) 716-6964
DR. EDGAR LACANLALE MASANGKAY D.C.
Chiropractor
22110 ROSCOE BLVD, #103
WEST HILLS, CA 91304
Los Angeles County (818) 716-9924
MS. SUSAN E BURGER F.N.P
Nurse Practitioner (Women's Health)
22110 ROSCOE BLVD, SUITE 104
WEST HILLS, CA 91304
Los Angeles County (818) 704-6696
VALLEY WOMEN'S CENTER
Case Management
22110 ROSCOE BLVD, SUITE 204
CANOGA PARK, CA 91304
Los Angeles County (818) 713-8700
SUSAN ARMOUR
Counselor (Addiction (Substance Use Disorder))
22110 ROSCOE BLVD
CANOGA PARK, CA 91304
Los Angeles County (818) 713-8700
LEADING MEDICAL GROUP INC.
Physical Medicine & Rehabilitation (Pain Medicine)
22110 ROSCOE BLVD, SUITE 304
WEST HILLS, CA 91304
Los Angeles County (818) 703-1511
MARYAM MORTEZAIEFARD D.O.
Internal Medicine
22110 ROSCOE BLVD, SUITE 100
WEST HILLS, CA 91304
Los Angeles County (818) 888-8042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Willard's NPI number?

The NPI number for Kelly Willard is 1013382787. It was assigned to this individual provider in the NPPES registry on December 7, 2015.

Where is Kelly Willard located?

Kelly Willard practices at 22110 Roscoe Blvd Suite 204, Canoga Park, CA 91304. The listed phone number is (818) 713-8700.

What is Kelly Willard's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Kelly Willard was last updated on December 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.