Individual provider · Type 1 NPI

Brian Phanichkarn, LCSW

Clinical Social Worker · Fremont, CA

NPI number 1699324152 Active

Practice location

39180 Liberty St Ste 220
Fremont, CA 94538-1522

Call (415) 735-4899 Map

Mailing address

17247 Via El Cerrito
San Lorenzo, CA 94580-2736

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X90788 (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 1699324152

Brian Phanichkarn, LCSW's National Provider Identifier is 1699324152, issued on Sep 8, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fremont, CA. The record was last updated on Sep 28, 2021.