| Katherine Chi Licensed Clinical Social Worker And Associates Inc | |
|
647 Veterans Blvd Ste A Redwood City CA 94063-1441 | |
| (650) 420-7761 | |
| (650) 839-7841 |
| Full Name | Katherine Chi Licensed Clinical Social Worker And Associates Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 647 Veterans Blvd Ste A, Redwood City, California |
| Authorized Official Name and Position | Katherine Chi (CEO) |
| Authorized Official Contact | 6504207761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Chi Licensed Clinical Social Worker And Associates Inc Po Box 1011 Redwood City CA 94064-1011 Ph: (650) 420-7761 | Katherine Chi Licensed Clinical Social Worker And Associates Inc 647 Veterans Blvd Ste A Redwood City CA 94063-1441 Ph: (650) 420-7761 |
| NPI Number | 1023846714 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Medicare PECOS PAC ID | 7315486073 |
|---|---|
| Medicare Enrollment ID | O20240826002032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023846714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Katherine Chi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316514748 PECOS PAC ID: 8224577986 Enrollment ID: I20240826002067 |
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