KELLIE MARIE VASQUEZ MSW
NPI 1710677356
Social Worker - Clinical in Corona, CA

Q: What is Kellie Vasquez's NPI number?

The NPI number for Kellie Vasquez is 1710677356. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Q: What is Kellie Vasquez'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 Kellie Vasquez was last updated on May 8, 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.

Active since May 08, 2023

2275 S MAIN ST STE 201, CORONA, CA 92882(951) 279-3222(951) 279-5222 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kellie Marie Vasquez Msw NPPES

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

KELLIE MARIE VASQUEZ MSW (NPI 1710677356) is an individual clinical provider in Corona, California and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1710677356

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLIE MARIE VASQUEZCredential: MSW

Location Address2275 S MAIN ST STE 201Corona, CA 92882-5303

Mailing Address3355 N White Avenue, Po Box #713La Verne, CA 91750 · (626) 244-7748

Phone(951) 279-3222

Fax(951) 279-5222

Sole ProprietorNo

Enumeration DateMay 8, 2023

NPPES CertifiedMay 8, 2023

✔ NPI 1710677356 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.

2275 S MAIN ST STE 201, Corona, CA 92882

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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.

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