Kitti Jean Perry, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS4322 Issued in CA

Practice address

3000 Cleveland Ave
Suite 105
Santa Rosa, CA 95403-2171

Phone

(707) 527-0610

Fax

(707) 875-8873

NPI assigned

Dec 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710964630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3",
            "city": "BODEGA BAY",
            "state": "CA",
            "postal_code": "949230003",
            "telephone_number": "707-527-0610",
            "fax_number": "707-875-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CLEVELAND AVE",
            "address_2": "SUITE 105",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032171",
            "telephone_number": "707-527-0610",
            "fax_number": "707-875-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KITTI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS4322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "#287461",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CSW043220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER ID",
            "identifier": "LCS043220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arianna Permutt
• Richard P. Permutt, MD
• Brandi Marie Peroney, AGACNP
• Stewart Bernard Perrilliat II, DMIN
• Kirsti Perry, LCSW
• Michael W. Perry, D.D.S.
• Stephen Perry, MD
• Sajni Persad
• Joe Madden Persinger, PH.D.
• Personal Hearing Solutions

• Clinical Social Worker in Santa Rosa, CA
• Providers in Santa Rosa, 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 Jul 13, 2026; 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.