Individual provider · Type 1 NPI

Ki Wi Fan

Clinical Social Worker · San Mateo, CA

NPI number 1689104770 Active

Practice location

31 Tower Rd
San Mateo, CA 94402-4000

Call (650) 312-5320 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X119420 (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 1689104770

Ki Wi Fan's National Provider Identifier is 1689104770, issued on Jun 13, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Mateo, CA. The record was last updated on Jan 2, 2026.