Organization Active NPI

Katherine CHI Licensed Clinical Social Worker and Associates Inc

  • Community/Behavioral Health Agency
  • Redwood City, CA
National Provider Identifier
1023846714
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KATHERINE CHI LICENSED CLINICAL SOCIAL WORKER AND ASSOCIATES INC
Practice address
647 Veterans Blvd Ste a
Redwood City, CA 94063-1441
Phone
(650) 420-7761
Fax
(650) 839-7841
NPI assigned
Jul 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Ms. Katherine CHI, LCSW, PPSCNPI 1316514748
Title
Ceo
Phone
(650) 420-7761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

647 Veterans Blvd Ste a
Redwood City, CA 94063-1441

Mailing address

PO Box 1011
Redwood City, CA 94064-1011
Phone (650) 420-7761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240826002032 CA Part B Supplier - Clinic/Group Practice 7315486073 Receives reassigned benefits from 1 practitioner
Practice locations: Redwood City, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1023846714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1011",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940641011",
            "telephone_number": "650-420-7761",
            "fax_number": "650-839-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 VETERANS BLVD STE A",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631441",
            "telephone_number": "650-420-7761",
            "fax_number": "650-839-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE CHI LICENSED CLINICAL SOCIAL WORKER AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-420-7761",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, PPSC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.