Organization · Type 2 NPI

Keri Gnanashanmugam Licensed Clinical Social Worker Inc.

Clinical Social Worker · Santa Rosa, CA

NPI number 1235964636 Active

Practice location

427 Mendocino Ave Ste 100
Santa Rosa, CA 95401-5392

Call (224) 386-6832 Map

Mailing address

1275 4th St # 5002
Santa Rosa, CA 95404-4057

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None 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…

2 other providers at this address

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NPI record

NPI: 1235964636
Entity type: Organization (Type 2)
Issued: Sep 5, 2024
Last updated: Feb 21, 2025
Status: Active

Other names

<unavail>
Root Psychotherapy · doing business as
Root Psychotherapy · doing business as

Authorized official

Keri Gnanashanmugam, LCSW
Practice Owner
(832) 540-1630

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About NPI 1235964636

Keri Gnanashanmugam Licensed Clinical Social Worker Inc.'s National Provider Identifier is 1235964636, issued on Sep 5, 2024. 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 Feb 21, 2025.