Individual provider Active NPI

Caterina Poehner

  • Clinical Social Worker
  • Seaside, CA
National Provider Identifier
1841803012
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
128366 Issued in CA
Practice address
1178 Broadway Ave
Seaside, CA 93955-4934
Phone
(831) 394-4622
NPI assigned
Aug 28, 2020
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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 128366 CA Primary

Addresses

Primary practice location

1178 Broadway Ave
Seaside, CA 93955-4934

Mailing address

1178 Broadway Ave
Seaside, CA 93955-4934

Other practice location 1

617 Bayonet Cirle
Marina, CA 93933
Phone (831) 440-3580 ext. 706

Other practice location 2

604 Pearl St
Monterey, CA 93940-3070
Phone (831) 440-3590 ext. 706

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Monterey Direct

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
I20260130002463 CA Practitioner - Clinical Social Worker 2567940513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

437 Alcalde Ave
Monterey, CA 93940-5203

500 Westover Dr
Suite 13619
Stanford, NC 27330-6101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
128366CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca Clinical CurrentSince Jan 17, 2026 Accepting new patients
Community Human Services PastSince Jun 26, 2022 Accepting new patients

Locations

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 2

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1841803012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 BROADWAY AVE",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939554934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 BROADWAY AVE",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939554934",
            "telephone_number": "831-394-4622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 Bayonet Cirle",
            "address_purpose": "LOCATION",
            "city": "Marina",
            "state": "CA",
            "postal_code": "93933",
            "country_code": "US",
            "telephone_number": "831-440-3580 x706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939403070",
            "country_code": "US",
            "telephone_number": "831-440-3590 x706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POEHNER",
        "first_name": "CATERINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "128366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Monterey",
            "affiliation": "N",
            "endpointDescription": "Work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1178 Broadway Ave",
            "city": "Seaside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939554934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seaside, CA

Sources for this page

Verify at the official NPI Registry.