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. She is a member of the group practice Sondermind Provider Network Llc, Sondermind Provider Network Llc and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any 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 | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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: I20040605000307
Medical Identifiers
Medical identifiers for Mariko Ketchin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457369068 | NPI | - | NPPES |
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Sondermind Provider Network Llc | 9537572490 | 1295 |
| Sondermind Provider Network Llc | 9537572490 | 1295 |
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. Mariko Ketchin allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20241209000161 |
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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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