KELLEEN CARRIE STAINER
NPI 1053025858
Social Worker - Clinical in Costa Mesa, CA

Active since January 06, 2023
555 ANTON BLVD STE 150, COSTA MESA, CA 92626(949) 204-0011 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelleen Carrie Stainer NPPES

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

KELLEEN CARRIE STAINER (NPI 1053025858) is an individual clinical provider in Costa Mesa, California, licensed in California (LCSW29834) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1053025858
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLEEN CARRIE STAINER
Location Address555 ANTON BLVD STE 150Costa Mesa, CA 92626-7036
Mailing Address555 Anton Blvd Ste 150Costa Mesa, CA 92626-7036 · (949) 204-0011
Sole ProprietorYes
Enumeration DateJanuary 6, 2023
NPPES CertifiedJanuary 6, 2023
NPI 1053025858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCSW29834
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
555 ANTON BLVD STE 150, Costa Mesa, CA 92626

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.

Behavior Technician
555 ANTON BLVD STE 150
COSTA MESA, CA 92626
Behavior Technician
555 ANTON BLVD STE 150
COSTA MESA, CA 92626
Behavior Technician
555 ANTON BLVD STE 150
COSTA MESA, CA 92626
Home Health
555 ANTON BLVD STE 150, UNIT 350
COSTA MESA, CA 92626
Hospice Care, Community Based
555 ANTON BLVD STE 150, UNIT 351
COSTA MESA, CA 92626
Behavior Technician
555 ANTON BLVD STE 150
COSTA MESA, CA 92626
Psychologist (Clinical)
555 ANTON BLVD STE 150
COSTA MESA, CA 92626
Social Worker
555 ANTON BLVD STE 150
COSTA MESA, CA 92626

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 Kelleen Stainer's NPI number?

The NPI number for Kelleen Stainer is 1053025858. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Where is Kelleen Stainer located?

Kelleen Stainer practices at 555 Anton Blvd Ste 150, Costa Mesa, CA 92626. The listed phone number is (949) 204-0011.

What is Kelleen Stainer's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kelleen Stainer was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.