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MR. KEVIN MICHAEL CHARLES LCSW
NPI 1174616908
Social Worker - Clinical in San Leandro, CA

Active since October 02, 2006
2500 FAIRMONT DR, SAN LEANDRO, CA 94578(510) 667-7650 Get Directions Write a Review

NPPES record last updated: October 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kevin Michael Charles Lcsw NPPES

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

MR. KEVIN MICHAEL CHARLES LCSW (NPI 1174616908) is an individual clinical provider in San Leandro, California, licensed in California (LCSW 19231) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1174616908
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KEVIN MICHAEL CHARLESCredential: LCSW
Location Address2500 FAIRMONT DRSan Leandro, CA 94578-1005
Mailing Address2500 Fairmont DrSan Leandro, CA 94578-1005 · (510) 667-7650
Phone(510) 667-7650
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateOctober 18, 2011
✔ NPI 1174616908 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 · LCSW 19231
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.
2500 FAIRMONT DR, San Leandro, CA 94578
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Other Providers at the Same Location NPPES 20

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

MR. RODNEY LEON CORNIST DHATI ASW
Social Worker (Clinical)
2500 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 667-3000
SANJAY KUMAR
Community Health Worker
2500 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 667-4493
MR. SALMAN YAHRU BARUTI III MSW
Social Worker (Clinical)
2500 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 667-7716
MS. VASSILISA KUKU JOHRI ACSW
Social Worker (Clinical)
2500 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 667-3000
CHANADOLL QUANISHA GARRETT
Student in an Organized Health Care Education/Training Program
2500 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 667-3005
GLORIA SUSANA MUSTO ZEPEDA
Social Worker (Clinical)
2500 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 667-3000
DR. JANICE THOMAS PH.D.
Psychologist (Clinical)
2500 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 667-3009
MARIA OROZCO CORONADO PPSC
Counselor (School)
2500 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 670-7651

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 Kevin Charles's NPI number?

The NPI number for Kevin Charles is 1174616908. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Kevin Charles located?

Kevin Charles practices at 2500 Fairmont Dr, San Leandro, CA 94578. The listed phone number is (510) 667-7650.

What is Kevin Charles's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Charles was last updated on October 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.