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Kalyani Kalpen Shah

Social Worker

Behavioral Health & Social Service Providers

3081 Teagarden St, San Leandro, CA 94577-5720

PECOS Enrollment

This provider is enrolled in PECOS as KALYANI SHAH.

Based on the most recent information from CMS, provider Kalyani Kalpen Shah is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1457688822
Provider Type
Individual
Full Name
Shah, Kalyani Kalpen
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/5/2009
Last Updated
11/12/2025

Contact Information

Practice Location

3081 Teagarden St, San Leandro, CA 94577-5720

(510) 347-4620

Unlisted Fax

Mailing Location

3081 Teagarden St, San Leandro, CA 94577-5720

(510) 347-4620

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LCSW59892 California

Kalyani Kalpen Shah

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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