Kathleen Hagerty Pestrella, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16095 Issued in CA

Practice address

349 Appian Way
Ventura, CA 93003-1704

Phone

(805) 947-8364

NPI assigned

Dec 4, 2020

Last updated

Dec 4, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: kathleenpestrella@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1326643404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 APPIAN WAY",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031704",
            "telephone_number": "805-947-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 APPIAN WAY",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031704",
            "telephone_number": "805-947-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTRELLA",
        "first_name": "KATHLEEN",
        "middle_name": "HAGERTY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "16095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perikis T. Proussaefs D D S M S a Professinal Corporation (Pacific View Dental Group)
• Joshua Brent Perkins, LMFT, LPCC
• Lori Perlman, LPT
• David T Perlmutter, MD
• Mark Steven Perry, LCSW
• Peter L Karlsberg Mda Medical Corporation (The Center For Restorative Dermatology)
• Peter L. Karlsberg, M.D. a Medical Corporation (The Center for Restorative Dermatology)
• Alan Raymond Peter, M.D.
• Arthur Stanley Peters, M.D.
• Michelle Marie Peters, PT

• Clinical Social Worker in Ventura, CA
• Providers in Ventura, 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 Dec 4, 2020; 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.