PENINSULA COUNSELING AND CONSULTING INC RYAN GARDNER
NPI 1265044168
Social Worker - Clinical in Berkeley, CA

Q: What is Peninsula Counseling And Consulting Inc Ryan Gardner's specialty?

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

Active since August 21, 2020

3099 TELEGRAPH AVE, BERKELEY, CA 94705(650) 644-4454(650) 644-4456 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2021, Jul 29, 2021, Jul 22, 2021 and 1 more (4 updates tracked since 2020).

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About Peninsula Counseling And Consulting Inc Ryan Gardner NPPES

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

PENINSULA COUNSELING AND CONSULTING INC RYAN GARDNER (NPI 1265044168) is a healthcare organization registered as a clinical in Berkeley, California and active in the NPI registry since August 2020. The organization lists Ryan Gardner, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1265044168

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NamePENINSULA COUNSELING AND CONSULTING INC RYAN GARDNER

Location Address3099 TELEGRAPH AVEBerkeley, CA 94705-2035

Mailing Address1259 El Camino Real # 136Menlo Park, CA 94025-4208 · (650) 644-4454 · Fax (650) 644-4456

Phone(650) 644-4454

Fax(650) 644-4456

Organization SubpartNo

Authorized OfficialRyan GardnerExecutive Director · (510) 778-4494

Enumeration DateAugust 21, 2020

Last NPPES UpdateAugust 17, 20214 updates tracked since enumeration

NPPES CertifiedAugust 17, 2021

✔ NPI 1265044168 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.

3099 TELEGRAPH AVE, Berkeley, CA 94705

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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

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.

CAMERON MURPHEY

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