Katherine Burke Pica, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27275 Issued in CA

Practice address

12396 World Trade Dr Ste 204
San Diego, CA 92128-3789

Phone

(619) 327-9317

NPI assigned

Aug 1, 2011

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jul 1, 2022 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Resilience Counseling Licensed Clinical Social Worker Inc

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1073292009
  NPD Authorized official

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1194003616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11956 BERNARDO PLAZA DR # 313",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282538",
            "telephone_number": "619-327-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12396 WORLD TRADE DR STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283789",
            "telephone_number": "619-327-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICA",
        "first_name": "KATHERINE",
        "middle_name": "BURKE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angeline Piatek, RBT
• Yana Piatetsky, M.D.
• Brian Piatkowski, NP-C
• Fallon Piazza, RN
• Taylor N Piazza
• Angelica Picado, PHARMD, CGP
• Alyssa Monique Picano, RBT
• Dante Adib Picardi, ATC
• Natalie Picart
• Karla Paulina Picaso, RN

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.