Individual provider · Type 1 NPI

Katelyn Deberardinis, LCSW

Clinical Social Worker · San Diego, CA

NPI number 1063180487 Active

Practice location

3255 Wing St
San Diego, CA 92110-4638

Mailing address

3225 Wing St
San Diego, CA 92110-4626

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X104038 (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 1063180487

Katelyn Deberardinis, LCSW's National Provider Identifier is 1063180487, issued on Aug 31, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Jan 27, 2025.