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

Mr. Kevin Michael Charles, LCSW

Individual provider Clinical Social Worker · NPI 1174616908

Mr. Kevin Michael Charles, LCSW is a Clinical Social Worker in San Leandro, California. Practices as a sole proprietor. Licensed in California.

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.

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Practice location Address checks out

2500 Fairmont Dr
San Leandro, CA 94578-1005
Phone: (510) 667-7650
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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 LCSW 19231 (CA)

Record details

NPI number1174616908
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 2, 2006
Last updated in NPPESOctober 18, 2011

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