KENNETH J DEAVER LCSW
NPI 1053460733
Social Worker - Clinical in Los Gatos, CA

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment
15951 LOS GATOS BLVD STE 18, LOS GATOS, CA 95032(408) 358-9596(408) 358-9596 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth J Deaver Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH J DEAVER LCSW (NPI 1053460733) is an individual clinical provider in Los Gatos, California, licensed in California (LCS16585) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1053460733
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKENNETH J DEAVERCredential: LCSW
Location Address15951 LOS GATOS BLVD STE 18Los Gatos, CA 95032-3488
Mailing Address15951 Los Gatos Blvd Ste 18Los Gatos, CA 95032-3488 · (408) 358-9596 · Fax (408) 358-9596
Fax(408) 358-9596
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1053460733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCS16585
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

15951 LOS GATOS BLVD STE 18, Los Gatos, CA 95032

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kenneth J Deaver Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739503285
PECOS Enrollment IDI20200701001957
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $70.37 – $206.04
Typical copayment $0.00 (range $17.59 – $51.51)
Most-billed visit code NA
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
15951 LOS GATOS BLVD STE 18
LOS GATOS, CA 95032
Marriage & Family Therapist
15951 LOS GATOS BLVD STE 18
LOS GATOS, CA 95032
Marriage & Family Therapist
15951 LOS GATOS BLVD STE 18, LOS GATOS BLVD. STE 18
LOS GATOS, CA 95032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Deaver's NPI number?

The NPI number for Kenneth Deaver is 1053460733. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Kenneth Deaver located?

Kenneth Deaver practices at 15951 Los Gatos Blvd Ste 18, Los Gatos, CA 95032. The listed phone number is (408) 358-9596.

What is Kenneth Deaver's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kenneth Deaver enrolled in Medicare?

Yes. Kenneth Deaver is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kenneth Deaver was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.