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

Mr. Peter Phoenix Chinnici III, LCSW

Individual provider Clinical Social Worker · NPI 1619024288

Mr. Peter Phoenix Chinnici III, LCSW is a Clinical Social Worker in San Rafael, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

820 Las Gallinas Ave Kaiser Permanente Dept OF Psychiatry
San Rafael, CA 94903-3410
Phone: (415) 444-3027
Fax: (415) 444-3019
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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 LCS14720 (CA)

Record details

NPI number1619024288
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 4, 2007
Last updated in NPPESJuly 8, 2007

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