Kathleen Mary Teresa Jarosz, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW14376 Issued in CA

Practice address

1330 Lincoln Ave Ste 310D
San Rafael, CA 94901-2120

Phone

(415) 482-9796

NPI assigned

Jan 8, 2007

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

Other names 1

• Kathy Jarosz Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mill Valley Performance Consulting Group, Inc.

  • Mental Health Counselor
  • Corte Madera, CA
  • NPI 1124176615
  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1326196882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 AUBURN ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015206",
            "telephone_number": "415-999-4414",
            "fax_number": "415-482-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LINCOLN AVE STE 310D",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012120",
            "telephone_number": "415-482-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAROSZ",
        "first_name": "KATHLEEN",
        "middle_name": "MARY TERESA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW14376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "JAROSZ",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachel Andrea Janin, P.T.
• Nancy Greathead Janko, MFTI
• Bradley Glenn Jann, D.P.M
• Laura Ann Janssen, NP RN CNM
• Alan Nmi Jarach, MD
• Jill Annette Jarvie, RN, CNS
• Thomas Sterling Jarvis, DDS
• Iain Rene Jasko, MA
• Hamed Javadi, D.D.S
• Dominique Javier

• Clinical Social Worker in San Rafael, CA
• Providers in San Rafael, 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 Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.