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

Individual provider Clinical Social Worker · NPI 1245713262

Kembly Astua Mahiri, LCSW is a Clinical Social Worker in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

625 5th St
Santa Rosa, CA 95404-4428
Phone: (707) 565-4489
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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 LCS22591 (CA)

Record details

NPI number1245713262
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 14, 2018
Last updated in NPPESSeptember 14, 2018

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