Individual provider Active NPI

Evan Peter Katten, LCSW

  • Clinical Social Worker
  • Pasadena, CA
National Provider Identifier
1952425472
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS12330 Issued in CA
Practice address
130 S Euclid Ave Ste 7
Pasadena, CA 91101-2472
Phone
(626) 795-9065
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 LCS12330 CA Primary

Addresses

Primary practice location

130 S Euclid Ave Ste 7
Pasadena, CA 91101-2472

Mailing address

3941 Santa Carlotta St
La Crescenta, CA 91214-1053
Phone (818) 541-5500

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
I20120105000279 CA Practitioner - Clinical Social Worker 8729254230 Practice locations: Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

130 S Euclid Ave
Suite 7
Pasadena, CA 91101-2472
Phone (626) 795-9065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1952425472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 SANTA CARLOTTA ST",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141053",
            "telephone_number": "818-541-5500",
            "fax_number": "818-541-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S EUCLID AVE STE 7",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012472",
            "telephone_number": "626-795-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTEN",
        "first_name": "EVAN",
        "middle_name": "PETER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.