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Export Provider Record NPI 1003580671
Kelley EscamillaLCSW
Active
NPI Number1003580671
NPI TypeNPI-1 Individual
SpecialtySocial Worker, Clinical
Provider Details
NPI1003580671
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2021-08-05
Last Updated2026-02-12
Mailing Address22994 El Toro Rd Ste 109
Lake Forest, CA 92630-4961
United States
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Primary Practice Address22994 El Toro Rd Ste 109
Lake Forest, CA 92630-4961
United States
Phone: (714) 886-7366
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1041C0700X – Social Worker, ClinicalCA101874
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About NPI 1003580671

Kelley Escamilla LCSW is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1003580671. The primary specialty listed is Social Worker, Clinical. The provider is located in Lake Forest, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-08-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1003580671?

NPI 1003580671 belongs to Kelley Escamilla LCSW, a Social Worker, Clinical in Lake Forest, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1003580671 active?

The current status of NPI 1003580671 in the NPPES registry is Active. The record was last updated on 2026-02-12.

What specialty is NPI 1003580671?

NPI 1003580671 is classified under the taxonomy Social Worker, Clinical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1003580671?

You can verify NPI 1003580671 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1003580671?

The primary practice address on file for NPI 1003580671 is 22994 El Toro Rd Ste 109, Lake Forest, CA 92630-4961. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1003580671 issued?

NPI 1003580671 was first issued (enumerated) on 2021-08-05. The NPPES record was last updated on 2026-02-12.

Practice Location Map

Kelley Escamilla is located at 22994 El Toro Rd Ste 109, Lake Forest, CA. Use the map below to find directions or verify the practice location.

📍 22994 El Toro Rd Ste 109, Lake Forest, CA 92630-4961  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kelley Escamilla. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1003580671. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Social Worker, Clinical101874CA
Data Verified from CMS NPPES Last synced: 2026-07-21 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162