Active NPI
Aikaterini Tzinti Katsivalis, ASW
- Social Worker
- Mission Viejo, CA
National Provider Identifier
1740887181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW112517
- Practice address
- 23228 Madero
Mission Viejo, CA 92691-2706 - Phone
- (949) 454-3940
- NPI assigned
- Oct 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW112517 | CA | Primary |
Addresses
Primary practice location
23228 Madero
Mission Viejo, CA 92691-2706
Mailing address
23228 Madero
Mission Viejo, CA 92691-2706
Phone (714) 480-6611
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW112517 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1740887181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23228 MADERO",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926912706",
"telephone_number": "714-480-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23228 MADERO",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926912706",
"telephone_number": "949-454-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATSIVALIS",
"first_name": "AIKATERINI",
"middle_name": "TZINTI",
"name_prefix": "Ms.",
"credential": "ASW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-08",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW112517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
- Karl Gebhard MD a Professional Corporation
- Cassandra L. Karn, P.A.
- Katherine Manasson M.D., Inc.
- Katherine Prodanovich Licensed Professional Clinical Counselor, Corp.
- Kathleen Mary Pollock MD a Medical Corporation
- Jasbir Kaur, MD
- David T Kawanishi, M.D.
- Kenneth Kaye, M.D.
- Darcy Kazarian, M.S., CCC-SLP
- Roza Kazemi, PHARM D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.