Colette Katuala, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29554 Issued in CA

Practice address

333 Estudillo Ave Ste 211
San Leandro, CA 94577-4717

Phone

(510) 305-6656

Fax

(510) 291-9600

NPI assigned

Mar 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Focused Clinical Solutions

  • Community/Behavioral Health Agency
  • San Leandro, CA
  • NPI 1952901159
  NPD Authorized official

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1093131898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ELSIE AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94577",
            "telephone_number": "510-305-6656",
            "fax_number": "510-291-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ESTUDILLO AVE STE 211",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774717",
            "telephone_number": "510-305-6656",
            "fax_number": "510-291-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATUALA",
        "first_name": "COLETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Kashima
• Rhonda Majeda Kashlan
• Joan Kasun
• Naim Safiullah Katiby, MD
• Jennifer Dale Katsuyama, PA-C
• Alexander Ze'Ev Katz, MD
• Simone Louise Katz, M.D.
• Kelty Dennis Kauffman
• John Kaufman, M.D.
• Misha Kaufman

• Clinical Social Worker in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.