Individual provider Active NPI

Katherine D Rosales

  • Social Worker
  • Murrieta, CA
National Provider Identifier
1609650977
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
123897 Issued in CA
Practice address
25109 Jefferson Ave Ste 200
Murrieta, CA 92562-8117
Phone
(951) 297-7773
NPI assigned
Aug 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 123897 CA Primary

Addresses

Primary practice location

25109 Jefferson Ave Ste 200
Murrieta, CA 92562-8117

Mailing address

25109 Jefferson Ave Ste 200
Murrieta, CA 92562-8117
Phone (951) 297-7773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
123897CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Valley Community Mental Health Center, Inc. CurrentSince May 26, 2024 Accepting new patients

Locations

14624 Sherman Way
Ste 404
Van Nuys, CA 91405
Phone (818) 778-5406

Organizations & group practices 1

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": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1609650977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25109 JEFFERSON AVE STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628117",
            "telephone_number": "951-297-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25109 JEFFERSON AVE STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628117",
            "telephone_number": "951-297-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "KATHERINE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "123897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.