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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PETER PHOENIX CHINNICI III, LCSW

Active

MR. PETER PHOENIX CHINNICI III, LCSW is a Clinical Social Worker healthcare provider located in SAN RAFAEL, California. NPI 1619024288 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SAN RAFAEL, CA

Registration Details

NPI Number
1619024288
Provider Type
Individual
Gender
Male
NPI Issued
Jan 4, 2007 (19.425355443332 yrs)
Last Updated
Jul 8, 2007
License
LCS14720 (CA)

Practice Information

Address
820 LAS GALLINAS AVE
KAISER PERMANENTE DEPT OF PSYCHIATRY
SAN RAFAEL, CA, 949033410
Browse CA providers · Browse ZIP 94903
Phone
4154443027
Fax
4154443019
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SAN RAFAEL, CA

Name Credential NPI
MR. ALAN KAUFMAN L.C.S.W. 1871527416
MS. KRISTINE Y KWOK LCSW 1730108549
MS. JOANNE L. BENDER LCSW 1841214202
GAIL MOSCONI LCSW 1902910342
MS. CAYLA WERNER COLEMAN LCSW 1194831891
MR. JEFFREY S LEVIN LCSW 1740382423
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.