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MS. SHAUNA LEIGH KETCHAM ASW
NPI 1841798865
Social Worker - Clinical in San Jose, CA

Active since January 24, 2018PECOS Enrolled
441 PARK AVE, SAN JOSE, CA 95110(408) 287-2460 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Shauna Leigh Ketcham Asw NPPES

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

MS. SHAUNA LEIGH KETCHAM ASW (NPI 1841798865) is an individual clinical provider in San Jose, California, licensed in (79168) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841798865
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SHAUNA LEIGH KETCHAMCredential: ASW
Location Address441 PARK AVESan Jose, CA 95110-2615
Mailing Address441 Park AveSan Jose, CA 95110-2615
Phone(408) 287-2460
Sole ProprietorNo
Enumeration DateJanuary 24, 2018
✔ NPI 1841798865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed · 79168
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 79168 (CA)
Also ListedSocial WorkerTaxonomy 104100000X
441 PARK AVE, San Jose, CA 95110
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Other Identifiers 1

Other1871855916CA · Out- Patient Mental Heath Center

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Shauna Leigh Ketcham Asw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95110 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 7

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

AFFIRM & EMBRACE PSYCHOTHERAPY INC
Community/Behavioral Health
441 PARK AVE
SAN JOSE, CA 95110
Santa Clara County (669) 262-7070
DR. FREDERICK SCOTT HING M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
441 PARK AVE
SAN JOSE, CA 95110
Santa Clara County (408) 287-2640
TIEN NAM
Psychologist (Clinical)
441 PARK AVE
SAN JOSE, CA 95110
Santa Clara County (408) 287-2640
DR. KENNETH PARKER JR. PHD
Psychologist
441 PARK AVE, 2ND FLOOR
SAN JOSE, CA 95110
Santa Clara County (408) 287-2640
AMANDA JOAN CHILD-VIDES AMFT
Marriage & Family Therapist
441 PARK AVE
SAN JOSE, CA 95110
Santa Clara County (408) 287-2640
DR. JAIME GALINDO PSY.D.
Counselor (Mental Health)
441 PARK AVE
SAN JOSE, CA 95110
Santa Clara County (408) 287-2640
ANJANA RAMAMURTHI
Social Worker
441 PARK AVE
SAN JOSE, CA 95110
Santa Clara County (408) 287-2640

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 Shauna Ketcham's NPI number?

The NPI number for Shauna Ketcham is 1841798865. It was assigned to this individual provider in the NPPES registry on January 24, 2018.

Where is Shauna Ketcham located?

Shauna Ketcham practices at 441 Park Ave, San Jose, CA 95110. The listed phone number is (408) 287-2460.

What is Shauna Ketcham's specialty?

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

Is Shauna Ketcham enrolled in Medicare?

Yes. Shauna Ketcham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shauna Ketcham was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.