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

Kelly Renee Jones Carll, LCSW

Individual provider Clinical Social Worker · NPI 1104297928

Kelly Renee Jones Carll, LCSW is a Clinical Social Worker in San Diego, California. Qualified in 2012, 14 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in California and Hawaii.

Years since qualifying
14
Licensed in
CA, HI
In the registry since
2015
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

8989 Rio San Diego Dr Ste 200
San Diego, CA 92108-1647
Phone: (858) 279-1223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3350 La Jolla Village Dr # 122, San Diego, CA 92161-0002 — (619) 497-8929

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 127798 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4020 (HI)

Record details

NPI number1104297928
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 20, 2015
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated

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