Kenneth John Kelzer, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS4612 Issued in CA

Practice address

1025 5TH Street
Novato, CA 94945-2416

Phone

(415) 897-2300

Fax

(415) 883-4360

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366552481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 5TH STREET",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949452416",
            "telephone_number": "415-897-2300",
            "fax_number": "415-883-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 5TH STREET",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949452416",
            "telephone_number": "415-897-2300",
            "fax_number": "415-883-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELZER",
        "first_name": "KENNETH",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS4612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caley Keene
• Nicholas Raines Keitzer, DPT
• Carla Kaye Keller
• Holly C Kelly, MD
• Charlene Kohl Kelzer, MA
• Leslie Kennedy, MFT TRAINEE
• Susan Kenny, MFT
• Donald Eric Kent, D.D.S.
• Katherine Kentfield-Kessner, NP
• Alan Kepner, MFT

• Clinical Social Worker in Novato, CA
• Providers in Novato, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.