Kathryn O'Brasky, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS16307 Issued in CA

Practice address

4817 Palm Ave
Suite G
La Mesa, CA 91941-3861

Phone

(619) 993-0948

Fax

(619) 697-8328

NPI assigned

Feb 24, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 19, 2020 through Nov 19, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689700866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921045406",
            "telephone_number": "619-993-0948",
            "fax_number": "619-697-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 PALM AVE",
            "address_2": "SUITE G",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413861",
            "telephone_number": "619-993-0948",
            "fax_number": "619-697-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRASKY",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Marie Novak, NURSE PRACTITIONER
• Janell-Francine Paguio Novilla, PA-C
• Nubia a Pena Offerdahl, Licensed Clinical Social Worker, Inc
• Jazalyn Nunez, RPA
• Seham Nuur
• Celina O'Brien
• Dennis Michael O'Brien, DDS
• Lisa C. O'Connell, M.D.
• Sean O'Hara, PSY.D.,CADC II,SAP
• Oasis Residential Care Corp

• Clinical Social Worker in La Mesa, CA
• Providers in La Mesa, 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 Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.