KELLY JANE HEREFORD
NPI 1205284130
Social Worker - Clinical in San Diego, CA

Q: What is Kelly Hereford's NPI number?

The NPI number for Kelly Hereford is 1205284130. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Q: What is Kelly Hereford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Hereford was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since June 01, 2016

PO BOX 710145, SAN DIEGO, CA 92171(619) 346-4020 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 4, 2026, Jul 6, 2023 (2 updates tracked since 2023).

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About Kelly Jane Hereford NPPES

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

KELLY JANE HEREFORD (NPI 1205284130) is an individual clinical provider in San Diego, California and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1205284130

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLY JANE HEREFORD

Location AddressPO BOX 710145San Diego, CA 92171-0145

Mailing AddressPo Box 710145San Diego, CA 92171-0145 · (619) 346-4020

Phone(619) 346-4020

Sole ProprietorNo

Enumeration DateJune 1, 2016

Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2026

✔ NPI 1205284130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

PO BOX 710145, San Diego, CA 92171

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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.

SELENA COLLINS

Social Worker (Clinical)