Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

The Practice Counseling Services Licensed Clinical Social Worker, PC

Organization Clinical Social Worker · NPI 1831692573

The Practice Counseling Services Licensed Clinical Social Worker, PC provides Clinical Social Worker services in Fairfield, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Texas St Ste D
Fairfield, CA 94533
Phone: (562) 587-7409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 70176 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 71187 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 79256 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 69929 (CA)

Record details

NPI number1831692573
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mara Sammartino — Office Manager · (562) 587-7409
NPI enumeratedMarch 8, 2018
Last updated in NPPESJuly 6, 2018
Mailing address1000 Texas St Ste D, Fairfield, CA 94533-5700

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