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MS. KERRI LYNN GAVIN LCSW
NPI 1821248352
Social Worker - Clinical in Santa Rosa, CA

Active since September 20, 2008PECOS EnrolledAccepts Medicare Assignment
3022 SHASTA WAY, SANTA ROSA, CA 95403(707) 696-1632 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Kerri Lynn Gavin Lcsw NPPES

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

MS. KERRI LYNN GAVIN LCSW (NPI 1821248352) is an individual clinical provider in Santa Rosa, California, licensed in California (23704) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1821248352
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KERRI LYNN GAVINCredential: LCSW
Location Address3022 SHASTA WAYSanta Rosa, CA 95403-2664
Mailing Address3022 Shasta WaySanta Rosa, CA 95403-2664 · (707) 696-1632
Phone(707) 696-1632
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 20, 2008
Last NPPES UpdateApril 8, 2019
✔ NPI 1821248352 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 · 23704
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.
3022 SHASTA WAY, Santa Rosa, CA 95403
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kerri Lynn Gavin 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 ID1254674815
PECOS Enrollment IDI20190522001550
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kerri Gavin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sud Specialty Group - Ca
85 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088
Grow Healthcare Group PC
91 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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 $63.04 – $187.01
Typical copayment $0.00 (range $15.76 – $46.75)
Most-billed visit code NA
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

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 Kerri Gavin's NPI number?

The NPI number for Kerri Gavin is 1821248352. It was assigned to this individual provider in the NPPES registry on September 20, 2008.

Where is Kerri Gavin located?

Kerri Gavin practices at 3022 Shasta Way, Santa Rosa, CA 95403. The listed phone number is (707) 696-1632.

What is Kerri Gavin's specialty?

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

Is Kerri Gavin enrolled in Medicare?

Yes. Kerri Gavin 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.

Which organizations bill Medicare for Kerri Gavin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerri Gavin reassigns Medicare benefits to 2 organizations: Sud Specialty Group - Ca (Santa Clara, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kerri Gavin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kerri Gavin accept?

Health plans from UnitedHealthcare list Kerri Gavin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kerri Gavin was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.