Provider Demographics
NPI:1063565521
Name:KERR, EMILY (LCSW)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:
Last Name:KERR
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 1:7 HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-4709
Mailing Address - Country:US
Mailing Address - Phone:949-496-3757
Mailing Address - Fax:949-496-3757
Practice Address - Street 1:25283 CABOT RD
Practice Address - Street 2:SUITE 107
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-5522
Practice Address - Country:US
Practice Address - Phone:949-496-3757
Practice Address - Fax:949-496-3757
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS110671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical