Katherine Bonete Queiroz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110274 Issued in CA

Practice address

303 N. Glenoaks Blvd.
Suite #200
Burbank, CA 91502

Phone

(818) 738-7315

Fax

(310) 945-3356

NPI assigned

Aug 27, 2014

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

• Katherine Aniceto Bonete Former 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

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD
• Strength Based, a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Sun Valley, CA
  • NPI 1407438161
  Medicare reassignment NPD

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1538569520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N. GLENOAKS BLVD.",
            "address_2": "SUITE #200",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91502",
            "telephone_number": "818-738-7315",
            "fax_number": "310-945-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N. GLENOAKS BLVD.",
            "address_2": "SUITE #200",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91502",
            "telephone_number": "818-738-7315",
            "fax_number": "310-945-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEIROZ",
        "first_name": "KATHERINE",
        "middle_name": "BONETE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BONETE",
            "middle_name": "ANICETO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Quynh Thien Quach, D.O.
• Quality CLHF, Inc.
• Quality Health Care Products, Inc.
• Quality Home Infusion
• Quality Service Home Health Inc
• Racquel S Quema, M.D.
• Quest Home Health, Inc.
• Philippe Jean Quilici, M.D., F.A.C.S.
• Ryan Raymond Quinata
• Erika Quiroz

• Clinical Social Worker in Burbank, CA
• Providers in Burbank, 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 Oct 20, 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.

Verify at the official NPI Registry.