Individual ProviderKalene NickelsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address545 Estudillo Ave, San Leandro, CA 94577-4611(510) 352-9200PECOS EnrollmentBased on the most recent information from CMS, provider Kalene Nickelson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1811394133Provider TypeIndividualFull NameNickelson, KaleneCredentialASWGenderFemaleSole ProprietorNoEnumeration Date12/2/2014Last Updated12/2/2014Contact InformationPractice LocationPractice Address545 Estudillo Ave, San Leandro, CA 94577-4611Phone(510) 352-9200Fax(510) 352-3120Mailing LocationMailing Address545 Estudillo Ave, San Leandro, CA 94577-4611Phone(510) 352-9200Fax(510) 352-3120Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseASW61276California