Individual provider · Type 1 NPI

Muang Chiem Kistler, LCSW

Clinical Social Worker · Santa Rosa, CA

NPI number 1023368669 Active

Practice location

131A Stony Cir Ste 500
Santa Rosa, CA 95401-9600

Mailing address

PO Box 533
Liberty Hill, TX 78642-0533

Other practice locations

  • 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054-1140 · (833) 419-0181

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker 1041C0700X94125 (CA)
Clinical Social Worker Primary 1041C0700XNone listed

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 1023368669

Muang Chiem Kistler, LCSW's National Provider Identifier is 1023368669, issued on Sep 11, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 4, 2025.