Kathryn Ann Mackillop, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113075 Issued in CA

Practice address

2460 W 3Rd St
Santa Rosa, CA 95401-6409

Phone

(707) 979-6885

NPI assigned

Aug 5, 2026

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

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1831013739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 BAGGETT DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015785",
            "telephone_number": "707-508-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 W 3RD ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954016409",
            "telephone_number": "707-979-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKILLOP",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "113075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Macias, BA
• Roberto Macias
• Patty Macisaac
• Siobhan Maciver
• John F. Mackey, MD
• Jocelyn Mackin, MSW
• Tamara Cheryl Maclean, FNP
• Kymberly A Macneil
• Joanne Kay Mactaggart
• Ingrid Macy

• Clinical Social Worker in Santa Rosa, CA
• Providers in Santa Rosa, 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 Aug 5, 2026; 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.