MEDICARE: KATRINA CASTELLANOS

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	132906	CA

General Provider Information

NPI Number	:	1942894035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA CASTELLANOS

Provider Business Mailing Address
First Line	:	401 VERNON ST STE B
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-2600
Country	:	US
Telephone Number	:	916-581-0054
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 ESTATES DR STE E
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-2353
Country	:	US
Telephone Number	:	408-706-6855
Fax Number	:

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

Provider Enumeration Date	:	03/01/2021
Last Update Date	:	05/26/2026

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Directions to “ KATRINA CASTELLANOS ” Practice Location

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