Individual provider · Type 1 NPI

Kembly Astua Mahiri, LCSW

Clinical Social Worker · Santa Rosa, CA

NPI number 1245713262 Active

Practice location

625 5th St
Santa Rosa, CA 95404-4428

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCS22591 (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 1245713262

Kembly Astua Mahiri, LCSW's National Provider Identifier is 1245713262, issued on Sep 14, 2018. 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 Sep 14, 2018.