Individual provider · Type 1 NPI

Mariah King

Clinical Social Worker · Santa Rosa, CA

NPI number 1366211633 Active

Practice location

2255 Challenger Way Ste 107
Santa Rosa, CA 95407-5423

Call (707) 565-4738 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X133896 (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 1366211633

Mariah King's National Provider Identifier is 1366211633, issued on Dec 27, 2023. 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 25, 2025.