Provider Demographics
NPI:1235679077
Name:STRICKLAND, KELLI CAYLEY (LCSW)
Entity Type:Individual
Prefix:
First Name:KELLI
Middle Name:CAYLEY
Last Name:STRICKLAND
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 1:405 W AVE LOS LOBOS MARIANOS
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-4325
Mailing Address - Country:US
Mailing Address - Phone:714-730-0930
Mailing Address - Fax:714-730-3487
Practice Address - Street 1:18211 E. 17TH STREET
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705
Practice Address - Country:US
Practice Address - Phone:714-730-0930
Practice Address - Fax:714-730-3487
Is Sole Proprietor?:No
Enumeration Date:2017-02-27
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW749621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical