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

JONATHAN A KALLIS, LCSW

Active

JONATHAN A KALLIS, LCSW is a Clinical Social Worker healthcare provider located in RANCHO MIRAGE, California. NPI 1629017868 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · RANCHO MIRAGE, CA

Registration Details

NPI Number
1629017868
Provider Type
Individual
Gender
Male
NPI Issued
Jun 5, 2006 (20.153068652721 yrs)
Last Updated
Jun 30, 2022
Licenses
I0009706 (OH)
82079 (CA)

Practice Information

Address
39000 BOB HOPE DR
RANCHO MIRAGE, CA, 922703221
Browse CA providers · Browse ZIP 92270
Phone
7608378767
Fax
7608378806
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in RANCHO MIRAGE, CA

Name Credential NPI
MR. TERRY MICHAEL CUMMINGS LICENSED CLINICAL SO 1295759272
MRS. DIANE EILEEN CONKLIN LCSW 1609977263
MRS. CYNTHIA RENEE BAILEY LCSW 1346341989
STEPHAN PAUL OUELLETTE LCSW 1295800936
MRS. NITA SMITH LCSW 1720153828
PATRICIA G. NEVEL LCSW 1841330149
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.