Kelly Carll, LCSW
NPI 1104297928 · Clinical Social Worker · San Diego, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Carll, LCSW is a Clinical Social Worker provider in San Diego, CA (NPI 1104297928).
Provider details
- NPI number
- 1104297928
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4020 (HI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3350 La Jolla Village Dr # 122San Diego, CA 92161-0002Phone: (619) 497-8929
Registry dates
- Enumerated
- 2015-10-20
- Last updated
- 2024-12-23
- Certified
- 2024-12-23
Frequently asked questions
- What is Kelly Carll's NPI number?
- Kelly Carll's National Provider Identifier (NPI) is 1104297928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Carll's specialty?
- Kelly Carll is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelly Carll located?
- Kelly Carll's practice location on file with NPPES is 8989 Rio San Diego Dr Ste 200, San Diego, CA 92108-1647.
- What is Kelly Carll's phone number?
- The practice phone number listed in the NPPES registry for Kelly Carll is (858) 279-1223.
- Does Kelly Carll accept Medicare?
- Kelly Carll is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Carll's NPI active?
- Yes — Kelly Carll's NPI (1104297928) is active in the NPPES registry as of the last update on 2024-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.