Jeanette Kadesh, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCS15739 Issued in CA

Practice address

1214 Lincoln Ave
San Rafael, CA 94901-3230

Phone

(415) 721-1720

Fax

(415) 472-3829

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679608962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 LINCOLN AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-721-1720",
            "fax_number": "415-472-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 LINCOLN AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013230",
            "telephone_number": "415-721-1720",
            "fax_number": "415-472-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADESH",
        "first_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS15739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "LCS157390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "6201349",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEHA CA",
            "identifier": "MHN231723",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juniper & Jade Psychotherapy Inc.
• Roberta Rita Jurash, D.D.S
• Iver Juster, MD
• Rachael G Justis, PT, MSPT
• Megan Kaden, PSY.D.
• Cheryl Kahn, MD
• Dana Denise Kahn, PH.D.
• Estelle C. Kahn, MD
• Jane Frances Kahn, PH.D.
• William Joseph Kairy

• Social Worker in San Rafael, CA
• Providers in San Rafael, CA by specialty
• 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.