MEDICARE: MS. KATHERINE DIANA MACKENZIE L.C.S.W.

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	LCS13330	CA

General Provider Information

NPI Number	:	1548364565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHERINE DIANA MACKENZIE L.C.S.W.

Provider Business Mailing Address
First Line	:	1731 I ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-3001
Country	:	US
Telephone Number	:	916-447-0350
Fax Number	:

Provider Business Practice Location Address
First Line	:	1731 I ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-3001
Country	:	US
Telephone Number	:	916-447-0350
Fax Number	:

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

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1942429378 — SUE DURONCELET
Practice Location Address:

1731 I ST
SACRAMENTO, CA
95814-3001

Practice Phone: 916-690-4856
Practice Fax:

1194717686 — DR. ANTHONY TODD RAYMAN D.C.
Practice Location Address:

3001 I ST, 115
SACRAMENTO, CA
95816

Practice Phone: 916-452-5055
Practice Fax: 916-244-0606

1730287038 — DR. CHRISTOPHER J CANTRELL D.M.D.
Practice Location Address:

3001 P ST # A
SACRAMENTO, CA
95816-6523

Practice Phone: 916-736-6750
Practice Fax: 916-736-6755

1932296118 — MR. PAUL EDWARD LANDMAN LCSW
Practice Location Address:

300 PRISON RD , CSP SACRAMENTO - EOP A YARD
REPRESA, CA
95671-3001

Practice Phone: 916-985-8610
Practice Fax:

1619050481 — DAVID FEDER DDS
Practice Location Address:

3001 P STREET
SACRAMENTO, CA
95816-6523

Practice Phone: 916-736-6750
Practice Fax: 916-736-6755

1144304577 — DR. RALPH IRVIN JACOBS JR. DDS
Practice Location Address:

3001 P ST
SACRAMENTO, CA
95816-6523

Practice Phone: 916-736-6750
Practice Fax: 916-736-6755

Directions to “ MS. KATHERINE DIANA MACKENZIE L.C.S.W.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.