Individual provider · Type 1 NPI

Peter Phoenix Chinnici Iii, LCSW

Clinical Social Worker · San Rafael, CA

NPI number 1619024288 Active

Practice location

820 Las Gallinas Ave, Kaiser Permanente Dept Of Psychiatry
San Rafael, CA 94903-3410

Call (415) 444-3027 Map

Fax (415) 444-3019

Mailing address

332 Bayview St
San Rafael, CA 94901-4934

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS14720 (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 1619024288

Peter Phoenix Chinnici Iii, LCSW's National Provider Identifier is 1619024288, issued on Jan 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.