Kelly Elizabeth Preston, ACSW is a
Social Worker - Clinical based in Venice, California. Kelly Elizabeth Preston is licensed to practice in California (license number 91268) and her current practice location is
204 Hampton Dr, Venice, California. She can be reached at her office (for appointments etc.) via phone at
(323) 864-3726.
NPI number for Kelly Elizabeth Preston is 1033709555 and her current mailing address is 1450 20th St, Santa Monica, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033709555.
Healthcare Provider's Profile
| Full Name | Kelly Elizabeth Preston |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 204 Hampton Dr, Venice, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033709555
- Provider Enumeration Date: 01/19/2021
- Last Update Date: 11/03/2023
Medical Identifiers
Medical identifiers for Kelly Elizabeth Preston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033709555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 111100 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 91268 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Elizabeth Preston is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly Elizabeth Preston, ACSW
1450 20th St,
Santa Monica, CA 90404-2906
Ph: (323) 309-6001 | Kelly Elizabeth Preston, ACSW
204 Hampton Dr,
Venice, CA 90291-8633
Ph: (323) 864-3726 |
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