Kathleen Wonacott, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

77334 Issued in CA

Practice address

5297 College Ave
Ste 103
Oakland, CA 94618

Phone

(415) 457-3755

Fax

(415) 457-0849

NPI assigned

May 14, 2012

Sex

Female

Sole proprietor

No

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

Enrolled in CA2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

• Bay Psychology Group Inc

  • Clinical Psychologist
  • Oakland, CA
  • NPI 1689173759
  Medicare reassignment NPD
• Marin Treatment Center

  • Methadone Clinic
  • San Rafael, CA
  • NPI 1437377421
  NPD (past)

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1558620419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SHATTUCK AVE UNIT 3593",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946097022",
            "telephone_number": "415-457-3755",
            "fax_number": "415-457-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5297 COLLEGE AVE",
            "address_2": "STE 103",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94618",
            "telephone_number": "415-457-3755",
            "fax_number": "415-457-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONACOTT",
        "first_name": "KATHLEEN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2021-04-27",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "77334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Wolosky
• Tara Wolski
• Ta'Reese Womack
• Albert U. Won, MD
• Jolene Min Won
• Wonders Pediatric Therapy
• Sumi Wong-Yap, R.N., N.P.
• Alex Wong, DDS
• Allen Wong, MD
• Anna Wong, PSY

• Mental Health Counselor in Oakland, CA
• Providers in Oakland, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.