| Katherine Dolores Soto, SW LIC | |
|
201 E 2nd St, Grandview, WA 98930-1347 | |
| (509) 502-8989 | |
| Not Available |
| Full Name | Katherine Dolores Soto |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 13 Years |
| Location | 201 E 2nd St, Grandview, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346018082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 61087950 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61087950 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mental Health Specialty Group Pa | 8921466228 | 726 |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20250226000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Dolores Soto, SW LIC 201 E 2nd St, Grandview, WA 98930-1347 Ph: (509) 502-8989 | Katherine Dolores Soto, SW LIC 201 E 2nd St, Grandview, WA 98930-1347 Ph: (509) 502-8989 |
Ms. Ruby Medina, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 N. Euclid, Grandview, WA 98930 Phone: 509-882-1855 Fax: 509-882-4998 |
Edith Isbel Noriega Cornejo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Wallace Way, Grandview, WA 98930 Phone: 509-882-3444 |
Erma Lus Medina, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 605 Park Ave, Grandview, WA 98930 Phone: 509-830-4624 |