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MR. KENNETH JOHN DE HAAN LCSW
NPI 1174643753
Social Worker - Clinical in San Pedro, CA

Active since March 29, 2007
704 WEST 8TH STREET, SAN PEDRO, CA 90731(310) 832-7545(310) 833-8580 Get Directions Write a Review

NPPES record last updated: June 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kenneth John De Haan Lcsw NPPES

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

MR. KENNETH JOHN DE HAAN LCSW (NPI 1174643753) is an individual clinical provider in San Pedro, California, licensed in California (LCS13281) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1174643753
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KENNETH JOHN DE HAANCredential: LCSW
Location Address704 WEST 8TH STREETSan Pedro, CA 90731
Mailing Address704 W 8th StSan Pedro, CA 90731-3017 · (310) 832-7545 · Fax (310) 833-8580
Phone(310) 832-7545
Fax(310) 833-8580
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateJune 11, 2013
✔ NPI 1174643753 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 · LCS13281
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.
704 WEST 8TH STREET, San Pedro, CA 90731
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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 De Haan's NPI number?

The NPI number for Kenneth De Haan is 1174643753. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Kenneth De Haan located?

Kenneth De Haan practices at 704 West 8th Street, San Pedro, CA 90731. The listed phone number is (310) 832-7545.

What is Kenneth De Haan'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 Kenneth De Haan was last updated on June 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.