Mara Newbart Kalish, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18776 Issued in CA

Practice address

228 B St
Davis, CA 95616-4505

Phone

(530) 792-7154

Fax

(530) 792-7154

NPI assigned

Aug 30, 2007

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

Other names 1

• Ms. Mara Newbart Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 19, 2023 through Sep 19, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1922292275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 B ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164505",
            "telephone_number": "530-792-7154",
            "fax_number": "530-792-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 B ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164505",
            "telephone_number": "530-792-7154",
            "fax_number": "530-792-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISH",
        "first_name": "MARA",
        "middle_name": "NEWBART",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "18776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARA",
            "last_name": "NEWBART",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ana Maria Junia, M.D.
• Beth Louise Kaffka, LCSW
• Navneet Kaur Kahlon, MD
• Amy Kahn
• Kaiser Foundation Health Plan Inc
• Milton Kalish, LCSW
• Donald Bradley Kalman, M.D.
• Phacharawut Kanchananakhin, MD
• Veeraparn Kanchananakhin, M.D.
• Mohammad Mostafah Karimzada, M.D.

• Clinical Social Worker in Davis, CA
• Providers in Davis, 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 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.