KATRINA HERZOG MSW, LICSW
NPI 1124604764
Social Worker - Clinical in Spokane, WA

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
100 N HOWARD ST STE W, SPOKANE, WA 99201(562) 286-2072 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2026, May 1, 2024, Sep 30, 2021 and 1 more (4 updates tracked since 2021).

About Katrina Herzog Msw, Licsw NPPES

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

KATRINA HERZOG MSW, LICSW (NPI 1124604764) is an individual clinical provider in Spokane, Washington, licensed in Washington (LW61466078) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124604764
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATRINA HERZOGCredential: MSW, LICSW
Location Address100 N HOWARD ST STE WSpokane, WA 99201-0508
Mailing Address6727 Martin Luther King Jr Way S Ste MSeattle, WA 98118-3205 · (562) 286-2072
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 23, 2021
Last NPPES UpdateMarch 16, 20264 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1124604764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WA · LW61466078✔ Licensed in WA · SC61040620
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.
100 N HOWARD ST STE W, Spokane, WA 99201

Other Identifiers 2

MedicaidSC61040620WA
MedicaidLW61466078WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katrina Herzog Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012351992
PECOS Enrollment IDI20240219003126
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Katrina Herzog reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
2410 E CHERRY ST
Seattle, WA 98122
  • Reassigned Medicare billing, Washington enrollment
  • 66 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Washington enrollment
  • 128 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Marriage & Family Therapist
100 N HOWARD ST STE W
SPOKANE, WA 99201
Counselor (Mental Health)
100 N HOWARD ST STE W
SPOKANE, WA 99201
Counselor (Mental Health)
100 N HOWARD ST STE W
SPOKANE, WA 99201
Social Worker (Clinical)
100 N HOWARD ST STE W
SPOKANE, WA 99201
Counselor (Mental Health)
100 N HOWARD ST STE W
SPOKANE, WA 99201
Social Worker (Clinical)
100 N HOWARD ST STE W
SPOKANE, WA 99201
Counselor (Mental Health)
100 N HOWARD ST STE W
SPOKANE, WA 99201
Nurse Practitioner (Psychiatric/Mental Health)
100 N HOWARD ST STE W
SPOKANE, WA 99201

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 Katrina Herzog's NPI number?

The NPI number for Katrina Herzog is 1124604764. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Katrina Herzog located?

Katrina Herzog practices at 100 N Howard St Ste W, Spokane, WA 99201. The listed phone number is (562) 286-2072.

What is Katrina Herzog's specialty?

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

Is Katrina Herzog enrolled in Medicare?

Yes. Katrina Herzog is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Katrina Herzog's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katrina Herzog reassigns Medicare benefits to 2 organizations: Seattle Roots Community Health (Seattle, WA) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katrina Herzog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katrina Herzog accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Katrina Herzog as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katrina Herzog was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.