Mr Kenneth John De Haan, LCSW in San Pedro, CA

Mr Kenneth John De Haan, LCSW is a Social Worker - Clinical based in San Pedro, California. Mr Kenneth John De Haan is licensed to practice in California (license number LCS13281) and his current practice location is 704 West 8th Street, San Pedro, California. He can be reached at his office (for appointments etc.) via phone at (310) 832-7545.

NPI number for Mr Kenneth John De Haan is 1174643753 and his current mailing address is 704 W 8th St, San Pedro, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174643753.

Contact Information

	Mr Kenneth John De Haan, LCSW
	704 West 8th Street, San Pedro, CA 90731
	(310) 832-7545
	(310) 833-8580

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kenneth John De Haan
Gender	Male
Speciality	Social Worker - Clinical
Location	704 West 8th Street, San Pedro, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1174643753
Provider Enumeration Date: 03/29/2007
Last Update Date: 06/11/2013

Medical Identifiers

Medical identifiers for Mr Kenneth John De Haan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174643753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS13281 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth John De Haan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kenneth John De Haan, LCSW 704 W 8th St, San Pedro, CA 90731-3017 Ph: (310) 832-7545	Mr Kenneth John De Haan, LCSW 704 West 8th Street, San Pedro, CA 90731 Ph: (310) 832-7545

Reviews and Comments

Social Worker in San Pedro, CA

Steven Frausto, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 222 W 6th St, Suite 230, San Pedro, CA 90731 Phone: 310-833-3135 Fax: 310-707-2877
Robin Linda Dieda, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1447 W 7th Street #c, San Pedro, CA 90732 Phone: 310-738-7414
Juana Friere, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 302 W 5th St Ste 308, San Pedro, CA 90731 Phone: 424-570-6955
Alabunmi A.m. Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 28649 S Western Ave Unit 6302, San Pedro, CA 90734 Phone: 424-271-5149
Elizabeth Ortiz Mcghee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 270 W 14th St, San Pedro, CA 90731 Phone: 310-519-8723
Ms. Laura Marie Navarro Pickens, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 W 7th St, San Pedro, CA 90731 Phone: 310-519-6100
Agueda Mendoza-beardslee, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 150 W 7th St, San Pedro, CA 90731 Phone: 310-519-6100

Mr Kenneth John De Haan, LCSW - Clinical Social Worker in San Pedro, CA