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General NPI Number Information
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NPI Number | 1316514748
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Entity Type | Individual
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Provider Name | KATHERINE CHI LCSW122142, PPSC
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Gender | Female
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 647 VETERANS BLVD STE A
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City | REDWOOD CITY
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State | CA
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Zip | 94063-1441
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Country | US
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Telephone | 650-420-7761
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Fax | 650-839-7841
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Provider Business Mailing Address
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Address Line | PO BOX 1011
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City | REDWOOD CITY
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State | CA
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Zip | 94064-1011
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Country | US
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Telephone | 650-420-7761
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Fax | 650-839-7841
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW122142
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License Number State | CA
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