Individual provider Active NPI

Kathy Rose Meza Leon, LCSW

  • Clinical Social Worker
  • Pasadena, CA
National Provider Identifier
1578077111
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107148 Issued in CA
Practice address
117 E Colorado Blvd
Pasadena, CA 91105-1938
Phone
(818) 233-0817
NPI assigned
Nov 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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 107148 CA Primary

Addresses

Primary practice location

117 E Colorado Blvd
Pasadena, CA 91105-1938

Mailing address

10525 Arnwood Rd
Sylmar, CA 91342-6802
Phone (818) 926-1199

Other names 1

  • Kathy Rose Valencia 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
I20230531001925 CA Practitioner - Clinical Social Worker 7618334079 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gateways Hospital & Mental Health Center CurrentSince Nov 29, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 16, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 16, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Dec 22, 2025 Accepting new patients
Tarzana Treatment Centers, Inc. CurrentSince Dec 22, 2025 Accepting new patients
Amanecer Community Counseling Service, a Non-Profit Corporation PastSince May 1, 2023 Accepting new patients

Locations

1891 Effie St
Los Angeles, CA 90026

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815

6022 Variel Ave
Woodland Hills, CA 91367
Phone (818) 274-0304

Organizations & group practices 8

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": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1578077111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 ARNWOOD RD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913426802",
            "telephone_number": "818-926-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051938",
            "telephone_number": "818-233-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA LEON",
        "first_name": "KATHY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "VALENCIA",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.