MS. PETTIE DIONISIO
NPI 1174093108
Social Worker - Clinical in Redondo Beach, CA

Active since December 03, 2018
410 CAMINO REAL, REDONDO BEACH, CA 90277(310) 316-1212 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, Dec 3, 2018 (2 updates tracked since 2018).

About Ms. Pettie Dionisio NPPES

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

MS. PETTIE DIONISIO (NPI 1174093108) is an individual clinical provider in Redondo Beach, California, licensed in California (103311) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1174093108
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. PETTIE DIONISIO
Location Address410 CAMINO REALRedondo Beach, CA 90277-3815
Mailing Address410 Camino RealRedondo Beach, CA 90277-3815 · (310) 316-1212
Sole ProprietorNo
Enumeration DateDecember 3, 2018
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
NPI 1174093108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 103311
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.
Also ListedTechnician, OtherTaxonomy 247200000X
410 CAMINO REAL, Redondo Beach, CA 90277

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
410 CAMINO REAL
REDONDO BEACH, CA 90277
Marriage & Family Therapist
410 CAMINO REAL
REDONDO BEACH, CA 90277
Social Worker (Clinical)
410 CAMINO REAL
REDONDO BEACH, CA 90277
Counselor (Mental Health)
410 CAMINO REAL
REDONDO BEACH, CA 90277
Social Worker (Clinical)
410 CAMINO REAL
REDONDO BEACH, CA 90277
Marriage & Family Therapist
410 CAMINO REAL
REDONDO BEACH, CA 90277
Marriage & Family Therapist
410 CAMINO REAL
REDONDO BEACH, CA 90277
Marriage & Family Therapist
410 CAMINO REAL
REDONDO BEACH, CA 90277

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 Pettie Dionisio's NPI number?

The NPI number for Pettie Dionisio is 1174093108. It was assigned to this individual provider in the NPPES registry on December 3, 2018.

Where is Pettie Dionisio located?

Pettie Dionisio practices at 410 Camino Real, Redondo Beach, CA 90277. The listed phone number is (310) 316-1212.

What is Pettie Dionisio'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 Pettie Dionisio was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.