Kadesh, Jeanette

Kadesh, Jeanette is an individual health care provider with primary practice located at 1214 Lincoln Ave , San Rafael CA 94901-3230. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Kadesh, Jeanette can be contacted via phone (415) 721-1720.

Contact Information

Primary practice address
1214 Lincoln Ave San Rafael CA 94901-3230
Phone: (415) 721-1720
Fax: (415) 472-3829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LCS15739 California

Profile Details

NPI number 1679608962
LBN Legal business name Kadesh, Jeanette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679608962 NPPES
California Other LCS157390 BLUE SHIELD
California Other 6201349 BLUE SHIELD
California Other MHN231723 BLUE SHIELD

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