Individual provider Active NPI

Catherine Ann Haralson

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1336595206
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19669 Issued in CA
Practice address
1465 30TH St Ste K
San Diego, CA 92154-3497
Phone
(619) 428-1000
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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 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 Former name

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
I20181218004002 CA Practitioner - Clinical Social Worker 5991040032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19669CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth Medical Group PC Clinical CurrentSince Dec 9, 2025 Accepting new patients
Headlight Health Medical Group PLLC CurrentSince Mar 14, 2026 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 and National Provider Directory roles.

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

Verify at the official NPI Registry.