MEDICARE: KATHRYN MEZA 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	L17314	OR

General Provider Information

NPI Number	:	1346549656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN MEZA LCSW

Provider Business Mailing Address
First Line	:	325 WILLOW BEND WAY
Second Line	:
City	:	CENTRAL POINT
State	:	OR
Zip	:	97502-8606
Country	:	US
Telephone Number	:	541-858-8170
Fax Number	:	458-299-8416

Provider Business Practice Location Address
First Line	:	325 WILLOW BEND WAY
Second Line	:
City	:	CENTRAL POINT
State	:	OR
Zip	:	97502-8606
Country	:	US
Telephone Number	:	458-220-7230
Fax Number	:	458-299-8416

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

Provider Enumeration Date	:	03/25/2011
Last Update Date	:	04/10/2026

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Directions to “ KATHRYN MEZA LCSW” Practice Location

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