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

Kelsey Anne Fruehan Dattilo

Individual provider Clinical Social Worker · NPI 1043469299

Kelsey Anne Fruehan Dattilo is a Clinical Social Worker in San Mateo, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

2000 Alameda De Las Pulgas Ste 200
San Mateo, CA 94403-1293
Phone: (650) 573-2222
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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 65361 (CA)

Record details

NPI number1043469299
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2008
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023

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