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

Kamla Fennimore, MA

Individual provider Clinical Social Worker · NPI 1710274519

Kamla Fennimore, MA is a Clinical Social Worker in Oakland, California. Qualified in 2004, 22 years ago. Practices with Blue Moon Senior Counseling of California LLC, a 79-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2011
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

4351 Broadway
Oakland, CA 94611-4612
Phone: (510) 535-6200
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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 27514 (CA)

Record details

NPI number1710274519
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedJune 30, 2011
Last updated in NPPESJune 30, 2011

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Blue Moon Senior Counseling Of California Llc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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