Individual provider Active NPI

Kathleen S Mintzer, MSW, LCSW

  • Clinical Social Worker
  • Santa Barbara, CA
National Provider Identifier
1487931150
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS16506 Issued in CA
Practice address
5266 Hollister Ave Ste 236B
Santa Barbara, CA 93111-3044
Phone
(805) 403-9102
NPI assigned
Nov 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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 LCS16506 CA Primary

Addresses

Primary practice location

5266 Hollister Ave Ste 236B
Santa Barbara, CA 93111-3044

Mailing address

5266 Hollister Ave Ste 236B
Santa Barbara, CA 93111-3044
Phone (805) 403-9102

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
I20200914000374 CA Practitioner - Clinical Social Worker 6709204431 Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2780 State St
Suite 3
Santa Barbara, CA 93105-5517
Phone (805) 403-9102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS16506CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1487931150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 HOLLISTER AVE STE 236B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931113044",
            "telephone_number": "805-403-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 HOLLISTER AVE STE 236B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931113044",
            "telephone_number": "805-403-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZER",
        "first_name": "KATHLEEN",
        "middle_name": "S",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.