KATHLEEN H MAIETTA LCSW
NPI 1487128617
Counselor - Mental Health in San Diego, CA
About Kathleen H Maietta Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN H MAIETTA LCSW (NPI 1487128617) is an individual mental health provider in San Diego, California, licensed in Massachusetts (121686) and active in the NPI registry since January 2019. She maintains a secondary practice location in San Diego.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
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.
SAN DIEGO, CA 92102
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 Kathleen Maietta's NPI number?
The NPI number for Kathleen Maietta is 1487128617. It was assigned to this individual provider in the NPPES registry on January 22, 2019. The provider is also known as Kathleen H Ryder.
Where is Kathleen Maietta located?
Kathleen Maietta practices at 4725 Market St, San Diego, CA 92102. The listed phone number is (860) 965-3818.
What is Kathleen Maietta's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Kathleen Maietta was last updated on April 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kathleen H Maietta, LCSW · NPI 1487128617
Mental Health provider in San Diego, California. Individual provider, active in the CMS NPPES registry since January 22, 2019.
## Identity
- **NPI:** 1487128617 (Entity type: Individual)
- **Enumerated:** January 22, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 121686 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 4725 MARKET ST, San Diego, CA 92102
- **Phone:** (860) 965-3818
## Record status
- **NPPES last updated:** April 29, 2019
- **Other identifiers:** Medicaid 1487128617 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1487128617) · Data from the CMS NPPES public registry.