Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KI WI FAN
ActiveKI WI FAN is a Clinical Social Worker healthcare provider located in SAN MATEO, California. NPI 1689104770 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SAN MATEO, CA
Registration Details
- NPI Number
- 1689104770
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2017 (8.9865327172254 yrs)
- Last Updated
- Jan 2, 2026
- License
-
119420 (CA)
Practice Information
- Address
-
31 TOWER RDSAN MATEO, CA, 944024000Browse CA providers · Browse ZIP 94402
- Phone
- 6503125320
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SAN MATEO, CA
| Name | Credential | NPI |
|---|---|---|
| MS. MICHELLE ANGELA DECORTE | R.N., L.C.S.W. | 1811946577 |
| DR. RONALD JAMES SOVAK | PHD | 1386652253 |
| VIRGINIA LEE STEWART | LCSW | 1215047873 |
| MS. VALERIE SUE WILLIAMS | LCSW | 1679670921 |
| SHIRLEY SHU-MI CHU | — | 1104927151 |
| MS. KASSANDRA BENNETT EDWARDS | LCSW, MFT | 1578630745 |
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.