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KELLY GRUNDSTROM
NPI 1902438211
Social Worker in San Jose, CA

Active since February 05, 2020
210 N 4TH ST, SAN JOSE, CA 95112(669) 288-9356 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2025, May 6, 2024, Feb 5, 2020 (3 updates tracked since 2020).

About Kelly Grundstrom NPPES

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

KELLY GRUNDSTROM (NPI 1902438211) is an individual social worker in San Jose, California, licensed in California (ASW122179) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1902438211
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELLY GRUNDSTROM
Location Address210 N 4TH STSan Jose, CA 95112-5569
Mailing Address210 N 4th StSan Jose, CA 95112-5569 · (669) 288-9356
Phone(669) 288-9356
Sole ProprietorNo
Enumeration DateFebruary 5, 2020
Last NPPES UpdateJune 9, 20263 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1902438211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in CA · ASW122179
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

210 N 4TH ST, San Jose, CA 95112
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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.

GEMMA BERDIN
Licensed Vocational Nurse
210 N 4TH ST, SUITE 100
SAN JOSE, CA 95112
Santa Clara County (408) 295-5288
CATHOLIC CHARITES
Community/Behavioral Health
210 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 292-5288
MS. BARBARA ARNOLDUSSEN RN
Counselor (Mental Health)
210 N 4TH ST, SUITE 100
SAN JOSE, CA 95112
Santa Clara County (408) 295-5288
ANGELINA BERNETTA MCCLEOD
Counselor (Mental Health)
210 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 295-5288
BEATRIZ COOK
Counselor (Mental Health)
210 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 295-5288
MS. DORENE AKEMI YAMAGUCHI MA
Counselor (Mental Health)
210 N 4TH ST, SUITE 100
SAN JOSE, CA 95112
Santa Clara County (408) 295-5288
ALYSSA BRIGGS
Counselor
210 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 295-5288
LEYDITH CHU NOLAN
Social Worker
210 N 4TH ST, STE 100
SAN JOSE, CA 95112
Santa Clara County (408) 295-5288

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 Kelly Grundstrom's NPI number?

The NPI number for Kelly Grundstrom is 1902438211. It was assigned to this individual provider in the NPPES registry on February 5, 2020.

Where is Kelly Grundstrom located?

Kelly Grundstrom practices at 210 N 4th St, San Jose, CA 95112. The listed phone number is (669) 288-9356.

What is Kelly Grundstrom's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kelly Grundstrom was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.