Kaoru Ichikawa, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17108 Issued in CA

Practice address

2216 Via Alamitos
Palos Verdes Estates, CA 90274-1653

Phone

(310) 910-4408

NPI assigned

Sep 19, 2025

Last updated

Sep 19, 2025By the provider in NPPES

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)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1861364929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 VIA ALAMITOS",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741653",
            "telephone_number": "310-910-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 VIA ALAMITOS",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741653",
            "telephone_number": "310-910-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICHIKAWA",
        "first_name": "KAORU",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "17108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearts Respond
• Richard H Helfant, MD
• Peter Herwitt, M.D.
• Alison Lynn Hildebrand, LMFT
• Robin Hunter
• Immediate Medical Care
• Jacqueline Williams, WHNP, a Professional Nursing Corporation
• Irina Jodzio, LMFT
• Michael Jones, M.D.
• Douglas Kalunian, M.D.

• Clinical Social Worker in Palos Verdes Estates, CA
• Providers in Palos Verdes Estates, 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 Sep 19, 2025; 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.