Individual provider Active NPI

Katherine Loveless, LCSW

  • Clinical Social Worker
  • Fortuna, CA
National Provider Identifier
1700467610
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104666 Issued in CA
Practice address
1100 Main St Ste F
Fortuna, CA 95540-2148
Phone
(707) 497-8744
Fax
(707) 861-6102
NPI assigned
Apr 21, 2021
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 104666 CA Primary

Addresses

Primary practice location

1100 Main St Ste F
Fortuna, CA 95540-2148

Mailing address

PO Box 241
Rio Dell, CA 95562-0241
Phone (707) 296-6877

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
I20220822000933 CA Practitioner - Clinical Social Worker 6608259882 Reassigns benefits to 2 organizations
Practice locations: Rio Dell, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Rio Dell, CA 95562
Phone (707) 497-8744

509 Elm St
Garberville, CA 95542-3204
Phone (707) 923-3921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Humboldt Community Healthcare District CurrentSince Oct 1, 2025 Accepting new patients
Southern Humboldt Community Healthcare District CurrentSince Aug 3, 2024 Accepting new patients
Southern Humboldt Community Healthcare District CurrentSince Aug 3, 2024 Accepting new patients

Locations

509 Elm St
Garberville, CA 95542
Phone (707) 463-2400

733 Cedar St
Garberville, CA 95542
Phone (707) 923-3921

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1700467610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241",
            "city": "RIO DELL",
            "state": "CA",
            "postal_code": "955620241",
            "telephone_number": "707-296-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MAIN ST STE F",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402148",
            "telephone_number": "707-497-8744",
            "fax_number": "707-861-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELESS",
        "first_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "104666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortuna, CA

Sources for this page

Verify at the official NPI Registry.