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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEVIN MICHAEL CHARLES, LCSW

Active Sole Proprietor

MR. KEVIN MICHAEL CHARLES, LCSW is a Clinical Social Worker healthcare provider located in SAN LEANDRO, California. NPI 1174616908 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SAN LEANDRO, CA

Registration Details

NPI Number
1174616908
Provider Type
Individual
Gender
Male
NPI Issued
Oct 2, 2006 (19.835588141055 yrs)
Last Updated
Oct 18, 2011
License
LCSW 19231 (CA)
Sole Proprietor
Yes

Practice Information

Address
2500 FAIRMONT DR
SAN LEANDRO, CA, 945781005
Browse CA providers · Browse ZIP 94578
Phone
5106677650
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SAN LEANDRO, CA

Name Credential NPI
MR. MICHAEL SAMUEL GELBART LCSW 1992785042
DEBRA ANN BARTENSTEIN L.C.S.W. 1326073297
MS. ANITRA M CLARK LCSW 1649280595
JILL JAMIE MASON LCSW 1144399148
JULIE AUGUSTA HESS MSW 1619046521
KATHRYN COY LCSW 1225108285
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.