Katherine Kellum, is a
Social Worker based in Fairfield, California. Katherine Kellum is licensed to practice in California (license number 68083) and her current practice location is
275 Beck Ave, Fairfield, California. She can be reached at her office (for appointments etc.) via phone at
(707) 784-8181.
NPI number for Katherine Kellum is 1093142291 and her current mailing address is 275 Beck Ave, Fairfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093142291.
Healthcare Provider's Profile
| Full Name | Katherine Kellum |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | 275 Beck Ave, Fairfield, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093142291
- Provider Enumeration Date: 10/02/2013
- Last Update Date: 07/05/2023
Medical Identifiers
Medical identifiers for Katherine Kellum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093142291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 25211 (California) | Secondary |
| 104100000X | Social Worker | 68083 (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. Katherine Kellum 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 |
|---|
Katherine Kellum,
275 Beck Ave,
Fairfield, CA 94533-6804
Ph: (707) 784-8181 | Katherine Kellum,
275 Beck Ave,
Fairfield, CA 94533-6804
Ph: (707) 784-8181 |
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