Kip Therapy Licensed Clinical Social Worker, P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

64284 Issued in CA

Legal business name

KIP THERAPY LICENSED CLINICAL SOCIAL WORKER, P.C.

Practice address

600 California
San Francisco, CA 94108

Phone

(415) 857-2429

NPI assigned

Aug 22, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anja Schmitz, PHD

Title

Chief Clinical Officer

Phone

(415) 658-5628

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1104307792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CALIFORNIA",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CALIFORNIA",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108",
            "telephone_number": "415-857-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIP THERAPY LICENSED CLINICAL SOCIAL WORKER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMITZ",
        "authorized_official_first_name": "ANJA",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "415-658-5628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30074",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "64284",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aidan Kinsella, D.C.
• Sabrina Monique Kinsella
• Jessica Kinslow
• Cody Kinsman, PA-C
• Akiyo Kinst-Hori, L.AC.
• Joshua Rex Kipker, P.T.
• Princess Kipker
• Allan Kipperman, M.D.
• Stephanie Kipperman, LCSW
• Dobri D. Kiprov, MD., P.C.

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.