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

Miss. Kelly Marie Lavan, LCSW

Individual provider Social Worker · NPI 1932870276

Miss. Kelly Marie Lavan, LCSW is a Social Worker in San Diego, California. Practices as a sole proprietor. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2021
Specialties on file
3
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

6145 Imperial Ave
San Diego, CA 92114-4213
Phone: (619) 234-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 113100 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 136588 (CA)
Social Worker Taxonomy 104100000X (NY)

Record details

NPI number1932870276
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 27, 2021
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026

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