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

Mr. Kenneth Shigeo Shigematsu Jr., LCSW

Individual provider Clinical Social Worker · NPI 1902901432

Mr. Kenneth Shigeo Shigematsu Jr., LCSW is a Clinical Social Worker in South San Francisco, California. Qualified in 1991, 35 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Hawaii.

Years since qualifying
35
Licensed in
CA, HI
In the registry since
2006
Specialties on file
2
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

1200 El Camino Real
South San Francisco, CA 94080-3208
Phone: (650) 742-2151
Fax: (650) 742-2591
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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 LCS 17984 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW 3612 (HI)

Record details

NPI number1902901432
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 13, 2006
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 24, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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