Kathleen Tiet, is a
Social Worker - Clinical based in Los Angeles, California. Kathleen Tiet is licensed to practice in California (license number 116576) and her current practice location is
840 N. Avenue 66, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(626) 395-7100.
NPI number for Kathleen Tiet is 1770061202 and her current mailing address is 100 W Walnut St Ste 375, Pasadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770061202.
Healthcare Provider's Profile
| Full Name | Kathleen Tiet |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 840 N. Avenue 66, Los Angeles, 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: 1770061202
- Provider Enumeration Date: 08/06/2018
- Last Update Date: 07/19/2023
Medical Identifiers
Medical identifiers for Kathleen Tiet such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770061202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 89785 (California) | Secondary |
| 104100000X | Social Worker | 89785 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 116576 (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. Kathleen Tiet 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 |
|---|
Kathleen Tiet,
100 W Walnut St Ste 375,
Pasadena, CA 91124-0001
Ph: (626) 395-7100 | Kathleen Tiet,
840 N. Avenue 66,
Los Angeles, CA 90042-3201
Ph: (626) 395-7100 |
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