Individual provider · Type 1 NPI

Kitti Jean Perry, L.C.S.W.

Clinical Social Worker · Santa Rosa, CA

NPI number 1710964630 Active

Practice location

3000 Cleveland Ave, Suite 105
Santa Rosa, CA 95403-2171

Call (707) 527-0610 Map

Fax (707) 875-8873

Mailing address

PO Box 3
Bodega Bay, CA 94923-0003

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS4322 (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 1710964630

Kitti Jean Perry, L.C.S.W.'s National Provider Identifier is 1710964630, issued on Dec 30, 2005. 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 Jul 13, 2026.