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

Individual provider Clinical Social Worker · NPI 1942786678

Kristen Kowalczyk, LCSW is a Clinical Social Worker in Laguna Hills, California. Qualified in 2024, 2 years ago. Practices with Shanti Orange County, a 14-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2018
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

23461 S Pointe Dr Ste 100
Laguna Hills, CA 92653-1523
Phone: (949) 594-2949
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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 126731 (CA)

Record details

NPI number1942786678
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 16, 2018
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Shanti Orange County — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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