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KI WI FAN
NPI 1689104770
Social Worker - Clinical in San Mateo, CA

Active since June 13, 2017
31 TOWER RD, SAN MATEO, CA 94402(650) 312-5320 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2026, Jun 13, 2017 (2 updates tracked since 2017).

About Ki Wi Fan NPPES

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

KI WI FAN (NPI 1689104770) is an individual clinical provider in San Mateo, California, licensed in California (119420) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1689104770
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKI WI FAN
Location Address31 TOWER RDSan Mateo, CA 94402-4000
Mailing Address31 Tower RdSan Mateo, CA 94402-4000 · (650) 312-5320
Phone(650) 312-5320
Sole ProprietorNo
Enumeration DateJune 13, 2017
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1689104770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 119420
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.
31 TOWER RD, San Mateo, CA 94402
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Other Providers at the Same Location NPPES 6

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

LAURA ELIZABETH STOVALL LCSW
Social Worker (Clinical)
31 TOWER RD
SAN MATEO, CA 94402
San Mateo County (650) 924-5237
LONG HOANG
Social Worker
31 TOWER RD
SAN MATEO, CA 94402
San Mateo County (650) 647-9022
JULIA SOARES BARBOZA
Social Worker
31 TOWER RD
SAN MATEO, CA 94402
San Mateo County (650) 312-5320
SAN MATEO COUNTY
Residential Treatment Facility, Emotionally Disturbed Children
31 TOWER RD
SAN MATEO, CA 94402
San Mateo County (650) 312-5320
GLORIA ALEJANDRA CASTILLO MSW
Social Worker
31 TOWER RD
SAN MATEO, CA 94402
San Mateo County (415) 860-5557
ALEXANDRA MAY
Social Worker (Clinical)
31 TOWER RD
SAN MATEO, CA 94402
San Mateo County (650) 216-8523

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 Ki Wi Fan's NPI number?

The NPI number for Ki Wi Fan is 1689104770. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Ki Wi Fan located?

Ki Wi Fan practices at 31 Tower Rd, San Mateo, CA 94402. The listed phone number is (650) 312-5320.

What is Ki Wi Fan'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 Ki Wi Fan was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.