| Kenneth Joseph Kaiser, LCSW | |
|
585 N Mountain Ave Ste B, Upland, CA 91786-8516 | |
| (909) 702-2068 | |
| Not Available |
| Full Name | Kenneth Joseph Kaiser |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 42 Years |
| Location | 585 N Mountain Ave Ste B, Upland, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306818653 | NPI | - | NPPES |
| CSW133580 | Medicaid | CA | |
| EPS011090 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS13358 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Behavioral Health Inc | 4385725266 | 5 |
| Entity Name | Mountain View Behavioral Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043391295 PECOS PAC ID: 4385725266 Enrollment ID: O20080116000761 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Joseph Kaiser, LCSW 12420 Baker Ave, Chino, CA 91710-2303 Ph: (909) 702-2068 | Kenneth Joseph Kaiser, LCSW 585 N Mountain Ave Ste B, Upland, CA 91786-8516 Ph: (909) 702-2068 |
Sean Ehrenkranz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 231 N Euclid Ave, Upland, CA 91786 Phone: 909-781-4032 | |
Nachiket Dharmadhikari, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 231 N Euclid Ave, Upland, CA 91786 Phone: 909-815-9841 | |
Yvonne Raenee Collins, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 436 N Laurel Ave, Upland, CA 91786 Phone: 951-847-6153 | |
Adriana Samano, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1425 W Foothill Blvd, Upland, CA 91786 Phone: 323-526-4016 | |
Miss Rosa Zuleyma Ramirez, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1425 W Foothill Blvd Fl 3, Upland, CA 91786 Phone: 877-527-5227 | |
Leslie Gamboa, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 231 N Euclid Ave, Upland, CA 91786 Phone: 909-815-9841 | |
Trisha Campbell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Terrace Dr, Upland, CA 91784 Phone: 909-919-3663 |