KATELYN DEBERARDINIS LCSW
NPI 1063180487
Social Worker - Clinical in San Diego, CA

Active since August 31, 2021
3255 WING ST, SAN DIEGO, CA 92110(619) 221-8600 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katelyn Deberardinis Lcsw NPPES

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

KATELYN DEBERARDINIS LCSW (NPI 1063180487) is an individual clinical provider in San Diego, California, licensed in California (104038) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1063180487
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATELYN DEBERARDINISCredential: LCSW
Location Address3255 WING STSan Diego, CA 92110-4638
Mailing Address3225 Wing StSan Diego, CA 92110-4626
Sole ProprietorNo
Enumeration DateAugust 31, 2021
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
NPI 1063180487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 104038
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3255 WING ST, San Diego, CA 92110

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
3255 WING ST
SAN DIEGO, CA 92110
Social Worker (Clinical)
3255 WING ST
SAN DIEGO, CA 92110
Counselor (Mental Health)
3255 WING ST, SUITE 500
SAN DIEGO, CA 92110
Counselor
3255 WING ST
SAN DIEGO, CA 92110
Rehabilitation Practitioner
3255 WING ST
SAN DIEGO, CA 92110
Student in an Organized Health Care Education/Training Program
3255 WING ST
SAN DIEGO, CA 92110
Counselor (Mental Health)
3255 WING ST
SAN DIEGO, CA 92110
Rehabilitation Practitioner
3255 WING ST
SAN DIEGO, CA 92110

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 Katelyn Deberardinis's NPI number?

The NPI number for Katelyn Deberardinis is 1063180487. It was assigned to this individual provider in the NPPES registry on August 31, 2021.

Where is Katelyn Deberardinis located?

Katelyn Deberardinis practices at 3255 Wing St, San Diego, CA 92110. The listed phone number is (619) 221-8600.

What is Katelyn Deberardinis'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 Katelyn Deberardinis was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.