Kenneth L. Mah, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS14859 Issued in CA

Practice address

4409 E Inyo St
Fresno, CA 93702-2977

Phone

(559) 453-3806

Fax

(559) 453-6025

NPI assigned

Jan 10, 2007

Last updated

Apr 18, 2008By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1346399813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 W PAUL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937229189",
            "telephone_number": "559-432-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 E INYO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937022977",
            "telephone_number": "559-453-3806",
            "fax_number": "559-453-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAH",
        "first_name": "KENNETH",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianne Magpayo
• Catherine Maguire, LCSW
• Michael Lawrence Maguire
• Arlene Theresa Magvas
• Fred Mah, OT
• Lori Mahaffy
• Amber Kaur Mahal, M.D.
• Jyot Mahal
• Kanwar Tejinder Paul Singh Mahal, M.D.
• Shanan Mahal, MD

• Clinical Social Worker in Fresno, CA
• Providers in Fresno, 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 Apr 18, 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.