Provider Demographics
NPI:1144626417
Name:BARBIERI, KELSEY L (LCSW)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:L
Last Name:BARBIERI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1741 EASTLAKE PKWY STE 102-122
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-2032
Mailing Address - Country:US
Mailing Address - Phone:760-454-7244
Mailing Address - Fax:
Practice Address - Street 1:1741 EASTLAKE PKWY STE 102-122
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91915-2032
Practice Address - Country:US
Practice Address - Phone:760-454-7244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-13
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.00967391041C0700X
WYLCSW-12511041C0700X
NV8773-C1041C0700X
CA713941041C0700X
AZLCSW-185011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical