Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KATHRYN ANN MACKILLOP LCSW
NPI 1831013739
Social Worker - Clinical in Santa Rosa, CA

Active since August 05, 2026
2460 W 3RD ST, SANTA ROSA, CA 95401(707) 979-6885 Get Directions Write a Review

NPPES record added: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Ann Mackillop Lcsw NPPES

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

KATHRYN ANN MACKILLOP LCSW (NPI 1831013739) is an individual clinical provider in Santa Rosa, California, licensed in California (113075) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1831013739
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHRYN ANN MACKILLOPCredential: LCSW
Location Address2460 W 3RD STSanta Rosa, CA 95401-6409
Mailing Address2408 Baggett DrSanta Rosa, CA 95401-5785 · (707) 508-8795
Sole ProprietorYes
Enumeration DateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
NPI 1831013739 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 · 113075
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.
2460 W 3RD ST, Santa Rosa, CA 95401

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
2460 W 3RD ST, SUITE 220
SANTA ROSA, CA 95401

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 Kathryn Mackillop's NPI number?

The NPI number for Kathryn Mackillop is 1831013739. It was assigned to this individual provider in the NPPES registry on August 5, 2026.

Where is Kathryn Mackillop located?

Kathryn Mackillop practices at 2460 W 3rd St, Santa Rosa, CA 95401. The listed phone number is (707) 979-6885.

What is Kathryn Mackillop'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 Kathryn Mackillop was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.