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

Individual provider Clinical Social Worker · NPI 1053460733

Kenneth J Deaver, LCSW is a Clinical Social Worker in Los Gatos, California. Qualified in 1989, 37 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
37
Licensed in
CA
In the registry since
2007
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

15951 Los Gatos Blvd Ste 18
Los Gatos, CA 95032-3488
Phone: (408) 358-9596
Fax: (408) 358-9596
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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 LCS16585 (CA)

Record details

NPI number1053460733
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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