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

The Practice Counseling Services Licensed Clinical Social Worker, PC

Organization Clinical Social Worker · NPI 1831692573

The Practice Counseling Services Licensed Clinical Social Worker, PC is a Clinical Social Worker 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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