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

Mr. Kenneth John Kelzer, MSWLCSW

Individual provider Clinical Social Worker · NPI 1366552481

Mr. Kenneth John Kelzer, MSWLCSW is a Clinical Social Worker in Novato, California. Qualified in 1968, 58 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
58
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

1025 5th St
Novato, CA 94945-2416
Phone: (415) 897-2300
Fax: (415) 883-4360
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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 LCS4612 (CA)

Record details

NPI number1366552481
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWLCSW
Sole proprietorNo
NPI enumeratedAugust 30, 2006
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 1968 (58 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Novato