Kathryn Blackthorn, MSW, LCSW is a
Social Worker - Clinical based in El Dorado, California. Kathryn Blackthorn is licensed to practice in California (license number LCSW76317) and her current practice location is
7404 Mica St, El Dorado, California. She can be reached at her office (for appointments etc.) via phone at
(916) 879-5011.
NPI number for Kathryn Blackthorn is 1922492347 and her current mailing address is Po Box 1362, El Dorado, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922492347.
Healthcare Provider's Profile
Full Name | Kathryn Blackthorn |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 7404 Mica St, El Dorado, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922492347
- Provider Enumeration Date: 03/24/2015
- Last Update Date: 07/19/2022
Medical Identifiers
Medical identifiers for Kathryn Blackthorn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922492347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LCSW76317 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Blackthorn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathryn Blackthorn, MSW, LCSW Po Box 1362, El Dorado, CA 95623-1362 Ph: (916) 879-5011 | Kathryn Blackthorn, MSW, LCSW 7404 Mica St, El Dorado, CA 95623-4849 Ph: (916) 879-5011 |
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