Mallory Katavich, is a
Social Worker - Clinical based in San Jose, California. Mallory Katavich is licensed to practice in California (license number 101297) and her current practice location is
6203 San Ignacio Ave Ste 150, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 284-9080.
NPI number for Mallory Katavich is 1144689886 and her current mailing address is 6203 San Ignacio Ave Ste 150, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144689886.
Healthcare Provider's Profile
| Full Name | Mallory Katavich |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 6203 San Ignacio Ave Ste 150, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144689886
- Provider Enumeration Date: 02/22/2016
- Last Update Date: 11/06/2024
Medical Identifiers
Medical identifiers for Mallory Katavich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1144689886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 101297 (California) | Primary |
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. Mallory Katavich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mallory Katavich, 6203 San Ignacio Ave Ste 150, San Jose, CA 95119-1371 Ph: (408) 284-9080 | Mallory Katavich, 6203 San Ignacio Ave Ste 150, San Jose, CA 95119-1371 Ph: (408) 284-9080 |
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