Mariko Ketchin, is a medicare enrolled "Social Worker - Clinical" provider in Durango, Colorado. She graduated from healthcare school in 1999 and has 27 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1911 Main Ave Ste 258, Durango, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 903-7601.
Mariko Ketchin is licensed to practice in Colorado (license number CSW 992942) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1457369068.
Healthcare Provider's Profile
| Full Name | Mariko Ketchin |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 27 Years |
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| Location | 1911 Main Ave Ste 258, Durango, Colorado |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mariko Ketchin graduated from medical school in 1999
NPI Data:
- NPI Number: 1457369068
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 03/25/2026
Medicare PECOS Information:
- PECOS PAC ID: 7113909813
- Enrollment ID: I20260413000473
Medical Identifiers
Medical identifiers for Mariko Ketchin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457369068 | NPI | - | NPPES |
| 671584 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | SWB-2025-0374 (New Mexico) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW 992942 (Colorado) | 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. Mariko Ketchin 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 |
|---|
Mariko Ketchin,
2801 Junction St,
Durango, CO 81301-4132
Ph: (970) 903-7601 | Mariko Ketchin,
1911 Main Ave Ste 258,
Durango, CO 81301-5083
Ph: (970) 903-7601 |
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