Kathleen Jo Kretzmer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 11345 Issued in CA

Practice address

21847 Redwood Rd
Castro Valley, CA 94546-6435

Phone

(510) 851-5106

NPI assigned

Mar 22, 2007

Sex

Female

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467579979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 FOREST HILL AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946022416",
            "telephone_number": "510-530-6922",
            "fax_number": "510-835-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21847 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945466435",
            "telephone_number": "510-851-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETZMER",
        "first_name": "KATHLEEN",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 11345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Richard Knotts, MEDICAL DOCTOR
• Wei-Fang Ko, M.D.
• Kong Du
• Raymond L. Kong, PHARM D.
• Michael John Koury, PT
• Michael B. Krinsky, M.D.
• Michael Krosin, MD
• Ted Krzywicki, D.D.S.
• Christine Kucher, M.A., CCC-SLP
• Yvette Yadira Kumar, LMFT

• Clinical Social Worker in Castro Valley, CA
• Providers in Castro Valley, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.