Individual provider Active NPI

Katherine Ralph, ACSW

  • Clinical Social Worker
  • Newhall, CA
National Provider Identifier
1093467326
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104982 Issued in CA
Practice address
24509 Walnut St Ste 201
Newhall, CA 91321-2846
Phone
(940) 594-3648
NPI assigned
Jan 18, 2022
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 125984 CA
Clinical Social Worker 1041C0700X 104982 CA Primary

Addresses

Primary practice location

24509 Walnut St Ste 201
Newhall, CA 91321-2846

Mailing address

1558 E 75TH St
Los Angeles, CA 90001-2623
Phone (940) 594-3648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
125984CAMDClinical Social Worker
104982CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1093467326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 E 75TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900012623",
            "telephone_number": "940-594-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24509 WALNUT ST STE 201",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212846",
            "telephone_number": "940-594-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALPH",
        "first_name": "KATHERINE",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2022-01-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "125984",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "104982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.