Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellie Rose Sukkar

Individual provider Clinical Social Worker · NPI 1063045490

Kellie Rose Sukkar is a Clinical Social Worker in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

5870 Arlington Ave
Riverside, CA 92504-2037
Phone: (951) 683-6596
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ACSW9700 (CA)

Record details

NPI number1063045490
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 13, 2020
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026

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