Active NPI
Catherine Ann Haralson
- Clinical Social Worker
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19669
- Practice address
- 1465 30TH St Ste K
San Diego, CA 92154-3497 - Phone
- (619) 428-1000
- NPI assigned
- May 10, 2016
- Last updated
- Dec 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19669 | CA | Primary |
Addresses
Primary practice location
1465 30TH St Ste K
San Diego, CA 92154-3497
Mailing address
1465 30TH St Ste K
San Diego, CA 92154-3497
Phone (619) 428-1000
Other practice location 1
8672 Villa La Jolla Dr
Unit 1
LA Jolla, CA 92037-2369
Phone (858) 412-3574
Other names 1
- Catherine Ann Lawyer
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19669 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Headlight Health Medical Group PLLC | Clinical | Current | Accepting new patients |
| Sokyahealth Medical Group PC | Clinical | Current | Accepting new patients |
Locations
2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060
5060 Shoreham Pl
Ste 230
San Diego, CA 92122
5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998
Organizations & group practices 2
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": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1336595206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 30TH ST STE K",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921543497",
"telephone_number": "619-428-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 30TH ST STE K",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921543497",
"telephone_number": "619-428-1000"
}
],
"practiceLocations": [
{
"address_1": "8672 Villa La Jolla Dr",
"address_2": "Unit 1",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920372369",
"country_code": "US",
"telephone_number": "858-412-3574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARALSON",
"first_name": "CATHERINE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-10",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "19669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "LAWYER",
"middle_name": "ANN",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.