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KATISHA LASHAAN EVERETT
NPI 1033830690
Social Worker - Clinical in Fairfield, CA

Active since September 12, 2022
1745 ENTERPRISE DRIVE, BLDG 2, SUITE 1A, FAIRFIELD, CA 94533(707) 416-4836 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katisha Lashaan Everett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATISHA LASHAAN EVERETT (NPI 1033830690) is an individual clinical provider in Fairfield, California, licensed in California (106761) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1033830690
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATISHA LASHAAN EVERETT
Location Address1745 ENTERPRISE DRIVE, BLDG 2, SUITE 1AFairfield, CA 94533
Mailing Address1677 Vicksburg DrFairfield, CA 94533-5166 · (707) 398-7158
Phone(707) 416-4836
Sole ProprietorNo
Enumeration DateSeptember 12, 2022
NPPES CertifiedSeptember 10, 2022
✔ NPI 1033830690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 106761
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1745 ENTERPRISE DRIVE, Fairfield, CA 94533
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katisha Everett's NPI number?

The NPI number for Katisha Everett is 1033830690. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Katisha Everett located?

Katisha Everett practices at 1745 Enterprise Drive Bldg 2, Suite 1A, Fairfield, CA 94533. The listed phone number is (707) 416-4836.

What is Katisha Everett's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Katisha Everett was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.