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

Individual provider Clinical Social Worker · NPI 1174643753

Mr. Kenneth John De Haan, LCSW is a Clinical Social Worker in San Pedro, California. Practices as a sole proprietor. Licensed in California.

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

704 W 8th St
San Pedro, CA 90731
Phone: (310) 832-7545
Fax: (310) 833-8580
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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 LCS13281 (CA)

Record details

NPI number1174643753
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 29, 2007
Last updated in NPPESJune 11, 2013

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