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Kerri Lynn Gavin, CSW

Clinical Social Worker · Santa Rosa

NPI 1821248352

Medicare standing
2 flags on the record
Listed below.
Plans that list them
4
1 carrier
Offices
2

On the public record

  • California licence: Revoked
  • 1 Medical Board action on record

Offices

2 locations · Sud Specialty Group - CA · 519 clinicians in this group

Looking this up.

Plans that list them

4 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Kerri Lynn Gavin’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Dual Complete North P23 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Basic Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026

California Medical Board record

Licence C23704 · Revoked

Licence status: Revoked · since 1961 · University of Iowa College of Medicine. Board flags: Revoked.

License has been revoked as a result of disciplinary action rendered by the Board. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

Public record actions

Actions the Medical Board of California publishes for this licence
1972-04-19Board disciplineDisciplineRevoked. · N/a

Professional record

NPI
1821248352
Licence
CA 23704California C23704: Revoked
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 1041C0700X (1041C0700X)
Mailing address
3022 Shasta Way, Santa Rosa, CA, 95403
NPI first listed
2008-09-20
NPI last updated
2019-04-08

This is when the NPI record was last certified, not a medical board exam.