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WITHIN REACH PSYCHOTHERAPY LCSW, INC
NPI 1033862156
Social Worker - Clinical in San Bruno, CA

Active since January 28, 2022
3321 SHELTER CREEK LN, SAN BRUNO, CA 94066(510) 833-6074 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Within Reach Psychotherapy Lcsw, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WITHIN REACH PSYCHOTHERAPY LCSW, INC (NPI 1033862156), doing business as Within Reach Psychotherapy, is a healthcare organization registered as a clinical in San Bruno, California and active in the NPI registry since January 2022. The organization lists Jorin Bukosky, Director, as its authorized official.

NPPES Registry Identity

NPI1033862156
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWITHIN REACH PSYCHOTHERAPY LCSW, INC
Location Address3321 SHELTER CREEK LNSan Bruno, CA 94066-6029
Mailing Address2930 Domingo Ave # 1181Berkeley, CA 94705-2454 · (510) 833-6074
Phone(510) 833-6074
Organization SubpartNo
Authorized OfficialJorin BukoskyDirector · (510) 833-6074
Enumeration DateJanuary 28, 2022
NPPES CertifiedJanuary 28, 2022
✔ NPI 1033862156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3321 SHELTER CREEK LN, San Bruno, CA 94066
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Other Names 1

Doing Business AsWithin Reach Psychotherapy

Other Identifiers 2

Medicaid1114334687CA
Medicaid1790284115CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Within Reach Psychotherapy Lcsw, Inc's NPI number?

The NPI number for Within Reach Psychotherapy Lcsw, Inc is 1033862156. It was assigned to this organization in the NPPES registry on January 28, 2022. The provider is doing business as Within Reach Psychotherapy.

Where is Within Reach Psychotherapy Lcsw, Inc located?

Within Reach Psychotherapy Lcsw, Inc is located at 3321 Shelter Creek Ln, San Bruno, CA 94066. The listed phone number is (510) 833-6074.

What is Within Reach Psychotherapy Lcsw, Inc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Within Reach Psychotherapy Lcsw, Inc was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.