Individual provider Active NPI

Katarina Kucavikova, MSW, LCSW

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1225398324
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW79407 Issued in CA
Practice address
4187 Flat Rock Dr Ste 350
Riverside, CA 92505-7124
Phone
(951) 476-5642
NPI assigned
May 22, 2012
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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 LCSW79407 CA Primary

Addresses

Primary practice location

4187 Flat Rock Dr Ste 350
Riverside, CA 92505-7124

Mailing address

4187 Flat Rock Dr Ste 350
Riverside, CA 92505-7124
Phone (951) 476-5642

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
I20211014001863 CA Practitioner - Clinical Social Worker 1456759877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4181 Flat Rock Dr
Suite 305And307
Riverside, CA 92505-7103
Phone (951) 476-5642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW 34501CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inlandpsych Redlands Inc CurrentSince Nov 1, 2021 Accepting new patients
Victoria Community Counseling Licensed Clinical Social Worker Corporation Clinical CurrentSince Aug 18, 2023 Accepting new patients
Inlandpsych Redlands Inc CurrentSince Nov 1, 2021 Accepting new patients

Locations

701 Highland Springs Ave
Ste 7
Beaumont, CA 92223
Phone (951) 849-7455

255 Terracina Blvd
Ste 204
Redlands, CA 92373
Phone (909) 496-1266

4181 Flat Rock Dr
Ste 305307
Riverside, CA 92505
Phone (951) 476-5642

4187 Flat Rock Dr
Ste 350
Riverside, CA 92505
Phone (951) 476-5642

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1225398324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4187 FLAT ROCK DR STE 350",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057124",
            "telephone_number": "951-476-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4187 FLAT ROCK DR STE 350",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057124",
            "telephone_number": "951-476-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCAVIKOVA",
        "first_name": "KATARINA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW79407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.