Individual provider · Type 1 NPI

Kelsey Anne Fruehan Dattilo

Clinical Social Worker · San Mateo, CA

NPI number 1043469299 Active

Practice location

2000 Alameda De Las Pulgas Ste 200
San Mateo, CA 94403-1293

Call (650) 573-2222 Map

Mailing address

PO Box 5248
South San Francisco, CA 94083-5248

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X65361 (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 1043469299

Kelsey Anne Fruehan Dattilo's National Provider Identifier is 1043469299, issued on Sep 11, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Mateo, CA. The record was last updated on Feb 2, 2023.