KATRINA LYNNE SUPRISE LCSW
NPI 1316195449
Social Worker - Clinical in Santa Rosa, CA

Q: What is Katrina Suprise's NPI number?

The NPI number for Katrina Suprise is 1316195449. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Q: What is Katrina Suprise's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katrina Suprise was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since September 03, 2008

3322 CHANATE RD, SANTA ROSA, CA 95404(707) 576-8181 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 23, 2024, Jul 6, 2017 (2 updates tracked since 2017).

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About Katrina Lynne Suprise Lcsw NPPES

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

KATRINA LYNNE SUPRISE LCSW (NPI 1316195449) is an individual clinical provider in Santa Rosa, California, licensed in California (83565) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1316195449

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATRINA LYNNE SUPRISECredential: LCSW

Location Address3322 CHANATE RDSanta Rosa, CA 95404-1708

Mailing Address2225 Challenger WaySanta Rosa, CA 95407-5772 · (707) 565-4970

Phone(707) 576-8181

Sole ProprietorNo

Enumeration DateSeptember 3, 2008

Last NPPES UpdateNovember 25, 20242 updates tracked since enumeration

NPPES CertifiedNovember 25, 2024

✔ NPI 1316195449 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 · 83565

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.

3322 CHANATE RD, Santa Rosa, CA 95404

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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.

MICHAEL FREDERICK KOZART

Psychiatry & Neurology (Psychiatry)