MEDICARE: MRS. KATHERINE BARRETT LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	21469	CA

General Provider Information

NPI Number	:	1578696084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE BARRETT LCSW

Provider Business Mailing Address
First Line	:	137 N COTTONWOOD ST STE 2500
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95695-6664
Country	:	US
Telephone Number	:	530-666-8983
Fax Number	:	530-666-8637

Provider Business Practice Location Address
First Line	:	137 N COTTONWOOD ST STE 2500
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95695-6664
Country	:	US
Telephone Number	:	530-666-8983
Fax Number	:	530-666-8637

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	02/22/2023

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