Mark Kevin Kalemos, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 24888 Issued in CA

Practice address

5905 Soquel Dr #300
Soquel, CA 95073

Phone

(831) 462-3271

Fax

(831) 464-8048

NPI assigned

Dec 1, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1184879405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SOQUEL DR SPC 90",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732140",
            "telephone_number": "831-462-3271",
            "fax_number": "831-464-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 SOQUEL DR #300",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "95073",
            "telephone_number": "831-462-3271",
            "fax_number": "831-464-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALEMOS",
        "first_name": "MARK",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 24888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Foster Psychotherapy Inc.
• Andrew Parker Jozwiakowski, MD
• Justin Shyba, D.D. S., Inc.
• Dana Kaiser-Davidson
• Patricia Frances Kaiser, LMFT
• Heajin Hwang Kamalani, MD
• Karen I. Michaels
• David Michael Kassel, MD
• Katherine W Dorsch
• Ryan L Kau, M.D.

• Clinical Social Worker in Soquel, CA
• Providers in Soquel, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.