KELLY S VANAMBERG ASW NPI 1285908939

NPI Information

NPI: 1285908939
Provider Name: KELLY S VANAMBERG, ASW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1831 STANFORD ST
SANTA MONICA, CA
ZIP 90404
Phone: (424) 229-1509
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Kelly S Vanamberg, ASW is a mental health counselor in Santa Monica, CA. Kelly S Vanamberg, ASW NPI is 1285908939. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1831 STANFORD ST
SANTA MONICA, CA
ZIP 90404-117
Phone: (424) 229-1509

The enumeration date for this NPI number is 2/28/2012 and was last updated on 4/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	92157	CALIFORNIA	Yes
2	1041C0700X	Social Worker	Clinical	74906	CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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