Individual provider Active NPI

Denise Elaine Kesten, MSW LCSW

  • Clinical Social Worker
  • Pacific Grove, CA
National Provider Identifier
1497764757
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 10149 Issued in CA
Practice address
311 Forest Ave
Suite B1
Pacific Grove, CA 93950-3367
Phone
(831) 915-4475
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 10149 CA Primary

Addresses

Primary practice location

311 Forest Ave
Suite B1
Pacific Grove, CA 93950-3367

Mailing address

PO Box 1713
Marina, CA 93933-1713
Phone (831) 915-4475

Other identifiers 1

IdentifierTypeStateIssuer
LCS101490OtherCAPROVIDER # BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 10149CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497764757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1713",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939331713",
            "telephone_number": "831-915-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 FOREST AVE",
            "address_2": "SUITE B1",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939503367",
            "telephone_number": "831-915-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTEN",
        "first_name": "DENISE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 10149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER # BLUE SHIELD",
            "identifier": "LCS101490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

  • 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.