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

MS. Pettie Dionisio

Individual provider Clinical Social Worker · NPI 1174093108

MS. Pettie Dionisio is a Clinical Social Worker in Redondo Beach, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

410 Camino Real
Redondo Beach, CA 90277-3815
Phone: (310) 316-1212
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 103311 (CA)
Other Technician Taxonomy 247200000X (CA)

Record details

NPI number1174093108
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2018
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

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