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

Kelsey Shawn Keane

Individual provider Clinical Social Worker · NPI 1174017131

Kelsey Shawn Keane is a Clinical Social Worker in Oakland, California. Qualified in 2018, 8 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

770 53rd St
Oakland, CA 94609-1814
Phone: (510) 428-8428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 747 52nd St, Oakland, CA 94609-1809 — (925) 209-1861

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 103044 (CA)

Record details

NPI number1174017131
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2018
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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