Individual provider · Type 1 NPI

Matthew Kettle

Clinical Social Worker · Escondido, CA

NPI number 1104770759 Active

Practice location

490 N Grape St
Escondido, CA 92025-3079

Call (760) 975-9939 Map

Fax (760) 509-9093

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW136611 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104770759

Matthew Kettle's National Provider Identifier is 1104770759, issued on Feb 23, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Escondido, CA. The record was last updated on Feb 24, 2026.