Ms Kathy Southard, LCSW in Vacaville, CA - Medicare Social Worker Provider

Ms Kathy Southard, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Vacaville, California. Her current practice location is 1600 California Dr, Vacaville, California. You can reach out to her office (for appointments etc.) via phone at (707) 448-6841.

Ms Kathy Southard is licensed to practice in California (license number 87677) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316373715.

Contact Information

	Ms Kathy Southard, LCSW
	1600 California Dr, Vacaville, CA 95687
	(707) 448-6841
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kathy Southard
Gender	Female
Speciality	Social Worker - Clinical
Location	1600 California Dr, Vacaville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316373715
Provider Enumeration Date: 09/18/2013
Last Update Date: 07/31/2025

Medicare PECOS Information:

PECOS PAC ID: 9830409499
Enrollment ID: I20151110002924

Medical Identifiers

Medical identifiers for Ms Kathy Southard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316373715	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	118839 (Massachusetts)	Secondary
1041C0700X	Social Worker - Clinical	HI-4271 (Hawaii)	Secondary
1041C0700X	Social Worker - Clinical	87677 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kathy Southard allows following entities to bill medicare on her behalf.

Entity Name	Cambridge Public Health Commission
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487603585 PECOS PAC ID: 8921910894 Enrollment ID: O20040121000364

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kathy Southard is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Kathy Southard, LCSW 2232 Ivy Dr Apt 1, Oakland, CA 94606-1942 Ph: (808) 892-9108	Ms Kathy Southard, LCSW 1600 California Dr, Vacaville, CA 95687 Ph: (707) 448-6841

Reviews and Comments

Social Worker in Vacaville, CA

Mrs. Maria Guadalupe Simmons, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 233 Dobbins St, Vacaville, CA 95688 Phone: 707-469-4540 Fax: 707-469-4560
Darci Simms, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 Butcher Rd, Vacaville, CA 95687 Phone: 888-660-4243 Fax: 833-233-2448
Alexcia M Jennings, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 313 Kendal St Ste B, Vacaville, CA 95688 Phone: 707-330-7904
Colette Balbarova, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 925-361-2773
Mr. Stirling C Price, SOCIAL WORKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 California Drive, Vacaville, CA 95696 Phone: 707-449-6504
Carolin Rose Fan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2100 Peabody Rd, Vacaville, CA 95687 Phone: 707-451-0182
Ms. Susan Efford Knight, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3700 Vaca Valley Pkwy, Medicine 3, Vacaville, CA 95688 Phone: 707-453-5477 Fax: 707-453-2972

Ms Kathy Southard, LCSW - Medicare Clinical Social Worker in Vacaville, CA