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

Monterey Institute Licensed Clinical Social Worker, Inc

Organization Adult Mental Health Clinic/Center · NPI 1083533590

Monterey Institute Licensed Clinical Social Worker, Inc is an Adult Mental Health Clinic/Center in San Jose, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

79 Devine St
San Jose, CA 95110-2483
Phone: (408) 217-0880
Fax: (408) 831-9441
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1083533590
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMonterey Institute Licensed Clinical Social Worker, Inc
Authorized official Mary Puri — Director Of Operations · (208) 250-2724
NPI enumeratedJuly 10, 2026
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address574 Cortes St, Monterey, CA 93940-3242

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