KRISTEN MARIE O'DWYER LCSW
NPI 1447672191
Social Worker - Clinical in San Diego, CA

Q: What is Kristen O'dwyer's NPI number?

The NPI number for Kristen O'dwyer is 1447672191. It was assigned to this individual provider in the NPPES registry on January 15, 2014. The provider is also known as Kristen Marie Carroll.

Q: What is Kristen O'dwyer'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 Kristen O'dwyer was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 15, 2014

2305 HISTORIC DECATUR RD STE 100, SAN DIEGO, CA 92106(619) 708-7100 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Kristen Marie O'dwyer Lcsw NPPES

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

KRISTEN MARIE O'DWYER LCSW (NPI 1447672191) is an individual clinical provider in San Diego, California, licensed in Michigan (6801097655) and active in the NPI registry since January 2014. She maintains a secondary practice location in Pontiac.

NPPES Registry Identity

NPI1447672191

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKRISTEN MARIE O'DWYERCredential: LCSW

Location Address2305 HISTORIC DECATUR RD STE 100San Diego, CA 92106

Mailing Address2305 Historic Decatur Rd Ste 100San Diego, CA 92106-6071 · (248) 891-6946

Phone(619) 708-7100

Sole ProprietorNo

Enumeration DateJanuary 15, 2014

Last NPPES UpdateDecember 6, 2019

✔ NPI 1447672191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in MI · 6801097655✔ Licensed in CA · 09773

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.

2305 HISTORIC DECATUR RD STE 100, San Diego, CA 92106

Open in Google Maps ↗

Other Names 1

Former Name (1)Kristen Marie Carroll

Secondary Practice Location 1

Location 1114 Orchard Lake RdPontiac, MI 48341-2244 · Phone (248) 858-7766 · Fax (248) 858-8227

Other Identifiers 1

Other90773CA · Lcsw

Other Providers at the Same Location NPPES 12

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

CARMEN L LUK DPT

Physical Therapist