Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Kelsoe, LCSW

Individual provider Clinical Social Worker · NPI 1740005008

Grace Kelsoe, LCSW is a Clinical Social Worker in Campbell, California. Qualified in 2014, 12 years ago. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

210 E Hacienda Ave
Campbell, CA 95008-6617
Phone: (415) 384-5623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 59327 (TX)

Record details

NPI number1740005008
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 20, 2024
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing address210 E Hacienda Ave, Campbell, CA 95008-6617

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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