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

Nimy Boby Kandathil

Individual provider Clinical Social Worker · NPI 1114792454

Nimy Boby Kandathil is a Clinical Social Worker in San Jose, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

7196 Alder Spring Way
San Jose, CA 95139-1301
Phone: (832) 475-7626
Show map & directions

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

Additional practice locations (1)

  • 2510, San Jose, CA 95131 — (832) 475-7626

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 98757 (CA)

Record details

NPI number1114792454
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 16, 2023
Last updated in NPPESNovember 16, 2023
Certification dateNovember 14, 2023

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