Katherine Anne Beach
Individual provider Active NPI Clinical Social Worker · Lompoc, CA
NPI 1669902656 · NPPES record last updated May 4, 2022
Key facts
- NPI
- 1669902656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 106220 (CA)
- Practice address
- 110 S C St Ste a
Lompoc, CA 93436-7340 - Phone
- (805) 741-7460
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240708001300 | CA | Practitioner - Clinical Social Worker | 6204370885 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for New Directions, Inc. | Current |
Accepting new patients | |
| Stephen M Pumphrey Licensed Clinical Social Workers Inc | Clinical | Past |
Accepting new patients |
| Santa Barbara County Auditor | Past | Accepting new patients | |
| Calm, Inc. | Past | Accepting new patients |
Locations
23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (949) 460-5320
1100 Melody Ln
Ste 108
Roseville, CA 95678
27201 Tourney Rd
Ste 206
Valencia, CA 91355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | 106220 | CA | Yes |
Addresses
Primary practice location
110 S C St Ste a
Lompoc, CA 93436-7340
Mailing address
110 S C St Ste a
Lompoc, CA 93436-7340
Other providers in Lompoc, CA
- Michele Margaret Barron
- David Alexander Barsky
- Edrea Breeze Bartholemew
- Marianne Bassi
- Catherine E Bates
- Kathleen Sachiko Beal
- Sandra Veronica Becerra de la Torre
- Silvia Estela Becerra
- Stephanie Joy Beckwith
- Amandajane Belgarde
All providers in Lompoc, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.