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

Kenneth Joseph Kaiser, LCSW

Individual provider Clinical Social Worker · NPI 1306818653

Kenneth Joseph Kaiser, LCSW is a Clinical Social Worker in Upland, California. Qualified in 1984, 42 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and offers telehealth. Licensed in California.

Years since qualifying
42
Licensed in
CA
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

585 N Mountain Ave Ste B
Upland, CA 91786-8516
Phone: (909) 702-2068
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS13358 (CA)

Record details

NPI number1306818653
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 2, 2006
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Upland