Individual provider · Type 1 NPI

Keri Gnanashanmugam, LCSW

Clinical Social Worker · Santa Rosa, CA

NPI number 1639834583 Active

Practice location

427 Mendocino Ave Ste 100
Santa Rosa, CA 95401-5392

Call (224) 386-6832 Map

Mailing address

1275 4th St # 5002
Santa Rosa, CA 95404-4057

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	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 1639834583

Keri Gnanashanmugam, LCSW's National Provider Identifier is 1639834583, issued on Nov 5, 2021. 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 Feb 18, 2025.