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KATRINA BLACKWELL LCSW
NPI 1831803204
Social Worker - Clinical in Los Angeles, CA

Active since January 10, 2023PECOS EnrolledAccepts Medicare Assignment
333 S BEAUDRY AVE, LOS ANGELES, CA 90017(424) 543-4396 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Katrina Blackwell Lcsw NPPES

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

KATRINA BLACKWELL LCSW (NPI 1831803204) is an individual clinical provider in Los Angeles, California, licensed in California (26541) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1831803204
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATRINA BLACKWELLCredential: LCSW
Location Address333 S BEAUDRY AVELos Angeles, CA 90017-1466
Mailing Address15507 S Normandie Ave # 244Gardena, CA 90247-4013
Phone(424) 543-4396
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 10, 2023
NPPES CertifiedJanuary 10, 2023
✔ NPI 1831803204 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 · 26541
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.
333 S BEAUDRY AVE, Los Angeles, CA 90017
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katrina Blackwell Lcsw 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 ID6608363064
PECOS Enrollment IDI20251017002761
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 90017 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

KATHY ESTRADA MONTES LCSW
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
ERIKA SANCHEZ
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
ARPI GUBERMAN
Speech-Language Pathologist
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (909) 964-8966
ANA MORAN LCSW
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
ANA VIRGINIA AGUILAR
Student in an Organized Health Care Education/Training Program
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
DAWN MARIE BRANNON LCSW
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
SUSANA RABENA BUSTAMANTE LCSW
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (213) 241-3841
SANDRA NAYELI MONTELONGO-KHUONG
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Los Angeles County (818) 993-9311

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 Blackwell's NPI number?

The NPI number for Katrina Blackwell is 1831803204. It was assigned to this individual provider in the NPPES registry on January 10, 2023.

Where is Katrina Blackwell located?

Katrina Blackwell practices at 333 S Beaudry Ave, Los Angeles, CA 90017. The listed phone number is (424) 543-4396.

What is Katrina Blackwell's specialty?

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

Is Katrina Blackwell enrolled in Medicare?

Yes. Katrina Blackwell 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.

When was this NPI record last updated?

The NPPES record for Katrina Blackwell was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.