KELLY B ROURKE ASW - NPI 1487145462 - Social Worker in San Diego, CA

Q: What is Kelly Rourke's NPI number?

The NPI number for Kelly Rourke is 1487145462. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Q: What is Kelly Rourke'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 Rourke was last updated on May 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelly B Rourke Asw NPPES

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

KELLY B ROURKE ASW (NPI 1487145462) is an individual clinical provider in San Diego, California, licensed in California (96746) and active in the NPI registry since May 2018. She maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1487145462

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLY B ROURKECredential: ASW

Location Address3517 CAMINO DEL RIO S STE 407San Diego, CA 92108-4028

Mailing Address3517 Camino Del Rio S Ste 407San Diego, CA 92108-4028 · (619) 955-8905

Phone(619) 955-8905

Sole ProprietorYes

Enumeration DateMay 24, 2018

Last NPPES UpdateMay 15, 20244 updates tracked since enumeration

NPPES CertifiedMay 15, 2024

✔ NPI 1487145462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 96746

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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

3517 CAMINO DEL RIO S STE 407, San Diego, CA 92108

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