Marykatherine Proietta

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103179 Issued in CA

Practice address

2512 Artesia Blvd Ste 305C
Redondo Beach, CA 90278-3269

Phone

(424) 261-8085

NPI assigned

Jan 14, 2022

Last updated

Jan 14, 2022By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1740931351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12443 CULVER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900666612",
            "telephone_number": "315-559-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 ARTESIA BLVD STE 305C",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783269",
            "telephone_number": "424-261-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROIETTA",
        "first_name": "MARYKATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Redondo Beach, CA
• Providers in Redondo Beach, 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 Jan 14, 2022; 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.