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

Individual provider Clinical Social Worker · NPI 1003491671

Jacquelyn Kesserman, LCSW is a Clinical Social Worker in Buena Park, California. Qualified in 2014, 12 years ago. Practices with Soultenders Inc, a 106-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2021
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

10350 Miranda Ave
Buena Park, CA 90620-4447
Phone: (562) 715-8703
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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 LCSW81103 (CA)

Record details

NPI number1003491671
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 15, 2021
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021
Mailing address10350 Miranda Ave, Buena Park, CA 90620-4447

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)
Group practice Soultenders Inc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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