Individual provider Active NPI

Catherine A Mammana, MSW

  • Clinical Social Worker
  • Camarillo, CA
National Provider Identifier
1124796032
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
129644 Issued in CA
Practice address
1881 Croydon Ave
Camarillo, CA 93010-2464
Phone
(310) 948-0941
NPI assigned
Sep 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 129644 CA Primary

Addresses

Primary practice location

1881 Croydon Ave
Camarillo, CA 93010-2464

Mailing address

1881 Croydon Ave
Camarillo, CA 93010-2464
Phone (310) 948-0941

Other names 1

  • Catherine Ann Pantoja Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023004188 CA Practitioner - Clinical Social Worker 0345738035 Reassigns benefits to 1 organization
Practice locations: Camarillo, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1881 Croydon Ave
Camarillo, CA 93010-2464
Phone (310) 439-8481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129644CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robert P Kahn-Rose, Inc. CurrentSince Oct 8, 2025 Accepting new patients

Locations

30423 Canwood St
Ste 123
Agoura Hills, CA 91301
Phone (818) 385-1219

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1124796032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 CROYDON AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102464",
            "telephone_number": "310-948-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 CROYDON AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102464",
            "telephone_number": "310-948-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMANA",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "129644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "PANTOJA",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.