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MARIKO KETCHIN
NPI 1457369068
Social Worker - Clinical in Durango, CO

Active since August 03, 2006PECOS Enrolled
1911 MAIN AVE STE 258, DURANGO, CO 81301(970) 903-7601 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mariko Ketchin NPPES

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

MARIKO KETCHIN (NPI 1457369068) is an individual clinical provider in Durango, Colorado, licensed in Colorado (CSW 992942) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1457369068
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARIKO KETCHIN
Location Address1911 MAIN AVE STE 258Durango, CO 81301-5083
Mailing Address2801 Junction StDurango, CO 81301-4132 · (970) 903-7601
Phone(970) 903-7601
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 3, 2006
Last NPPES UpdateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1457369068 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 CO · CSW 992942
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License SWB-2025-0374 (NM)
1911 MAIN AVE STE 258, Durango, CO 81301
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Other Identifiers 1

Medicaid671584NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariko Ketchin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113909813
PECOS Enrollment IDI20260413000473
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 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 $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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

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

RUSS POOL PSYCHOTHERAPY, LLC
Counselor (Professional)
1911 MAIN AVE STE 258
DURANGO, CO 81301
La Plata County (970) 375-7777

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 Mariko Ketchin's NPI number?

The NPI number for Mariko Ketchin is 1457369068. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Mariko Ketchin located?

Mariko Ketchin practices at 1911 Main Ave Ste 258, Durango, CO 81301. The listed phone number is (970) 903-7601.

What is Mariko Ketchin's specialty?

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

Is Mariko Ketchin enrolled in Medicare?

Yes. Mariko Ketchin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariko Ketchin was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.