Organization Active NPI

Kathryn Lige Licensed Clinical Social Worker Inc.

Doing business as Center for Cultivated Living

  • Clinical Social Worker
  • Los Altos, CA
National Provider Identifier
1871203216
Registry record updated Sep 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KATHRYN LIGE LICENSED CLINICAL SOCIAL WORKER INC.
Doing business as
Center for Cultivated Living
Practice address
2310 Homestead Rd Ste C1410
Los Altos, CA 94024-7339
Phone
(650) 395-8022
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathryn Lige, LCSWNPI 1316602352
Title
President
Phone
(650) 395-8022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

2310 Homestead Rd Ste C1410
Los Altos, CA 94024-7339

Mailing address

2310 Homestead Rd.
Ste. C1, #410
Los Altos, CA 94024
Phone (650) 395-8022

Other names 1

  • Center for Cultivated Living Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathryn@mochatherapyinc.com Direct

National Provider Directory

National Provider Directory

Locations

2310 Homestead Rd
Ste C1410
Los Altos, CA 94024
Phone (650) 395-8022

2310 Homestead Rd
Ste C1
Los Altos, CA 94024
Phone (650) 248-3112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725753600000",
    "number": "1871203216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HOMESTEAD RD.",
            "address_2": "STE. C1, #410",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "94024",
            "telephone_number": "650-395-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 HOMESTEAD RD STE C1410",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940247339",
            "telephone_number": "650-395-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN LIGE LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A",
        "authorized_official_last_name": "LIGE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-395-8022",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathryn@mochatherapyinc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2310 Homestead Rd.",
            "address_2": "Ste. C1, #410",
            "city": "Los Altos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Center for Cultivated Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; 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.