Individual provider · Type 1 NPI

Mariam Kanno

Clinical Social Worker · San Diego, CA

NPI number 1487487823 Active

Practice location

1011 Camino Del Rio S Ste 300
San Diego, CA 92108-3567

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Clinical Social Worker Primary	1041C0700X	135359 (CA)
Rehabilitation Practitioner	225400000X	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…

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About NPI 1487487823

Mariam Kanno's National Provider Identifier is 1487487823, issued on Aug 21, 2024. 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 Nov 17, 2025.