Individual provider · Type 1 NPI

Jonathan A. Kallis, LCSW

Clinical Social Worker · Rancho Mirage, CA

NPI number 1629017868 Active

Practice location

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221

Call (760) 837-8767 Map

Fax (760) 837-8806

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XI0009706 (OH)
Clinical Social Worker Primary 1041C0700X82079 (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 1629017868

Jonathan A. Kallis, LCSW's National Provider Identifier is 1629017868, issued on Jun 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rancho Mirage, CA. The record was last updated on Jun 30, 2022.