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

Jonathan A Kallis, LCSW

Individual provider Social Worker · NPI 1629017868

Jonathan A Kallis, LCSW is a Clinical Social Worker in Rancho Mirage, California. Qualified in 1993, 33 years ago. Practices with Eisenhower Medical Center, a 459-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Ohio.

Years since qualifying
33
Licensed in
CA, OH
In the registry since
2006
Specialties on file
2
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

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone: (760) 837-8767
Fax: (760) 837-8806
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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 82079 (CA)
Social Worker Taxonomy 104100000X · Licence I0009706 (OH)

Record details

NPI number1629017868
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022
Mailing address39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Eisenhower Medical Center — 459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rancho Mirage