Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH SHIGEO SHIGEMATSU JR., LCSW
Active Sole ProprietorMR. KENNETH SHIGEO SHIGEMATSU JR., LCSW is a Clinical Social Worker healthcare provider located in SOUTH SAN FRANCISCO, California. NPI 1902901432 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SOUTH SAN FRANCISCO, CA
Registration Details
- NPI Number
- 1902901432
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2006 (19.901440119037 yrs)
- Last Updated
- Jan 24, 2022
- Licenses
-
LCSW 3612 (HI)LCS 17984 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 EL CAMINO REALSOUTH SAN FRANCISCO, CA, 940803208Browse CA providers · Browse ZIP 94080
- Phone
- 6507422151
- Fax
- 6507422591
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in SOUTH SAN FRANCISCO, CA
| Name | Credential | NPI |
|---|---|---|
| ELEANOR LOUISE HERTZLER | LCSW | 1417054214 |
| NINA RAFF | LCSW | 1427118678 |
| CARRIE GRAHAM LEE | LCSW | 1447309513 |
| MRS. SARA GRAHAM | MSW | 1538297247 |
| MS. TERESA M SOTO | LCSW | 1831380138 |
| MR. JOSE E. TREJO | MSW | 1679766281 |
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.