MRS. KITTI JEAN PERRY L.C.S.W. NPI 1710964630

NPI Information

  • NPI: 1710964630
  • Provider Name: MRS. KITTI JEAN PERRY, L.C.S.W.
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3000 CLEVELAND AVE
    SUITE 105
    SANTA ROSA, CA
    ZIP 95403
  • Phone: (707) 527-0610

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NPI Details

MRS. Kitti Jean Perry, L.C.S.W. is a clinical social worker in Santa Rosa, CA. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MRS. Kitti Jean Perry, L.C.S.W. NPI is 1710964630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3000 CLEVELAND AVE
SUITE 105
SANTA ROSA, CA
ZIP 95403-171
Phone: (707) 527-0610
Fax: (707) 875-8873

The NPI 1710964630 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/30/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalLCS4322CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CSW043220MEDICAIDCALIFORNIA
2#287461OTHERCALIFORNIAMANAGED HEALTH NETWORK
3LCS043220OTHERCALIFORNIABLUE SHIELD PROVIDER ID
4ZZZ31147ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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