Kathleen Baniwas, LMFT is a
Social Worker - Clinical based in Vista, California. Kathleen Baniwas is licensed to practice in California (license number 107813) and her current practice location is
780 Shadowridge Dr, Vista, California. She can be reached at her office (for appointments etc.) via phone at
(760) 599-2471.
NPI number for Kathleen Baniwas is 1710339650 and her current mailing address is 780 Shadowridge Dr, Vista, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710339650.
Healthcare Provider's Profile
Full Name | Kathleen Baniwas |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 780 Shadowridge Dr, Vista, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710339650
- Provider Enumeration Date: 07/04/2016
- Last Update Date: 11/19/2021
Medical Identifiers
Medical identifiers for Kathleen Baniwas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710339650 | NPI | - | NPPES |
95-2633765 | Other | CA | MEDI-CAL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | IMF89556 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 107813 (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 Baniwas 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 Baniwas, LMFT 780 Shadowridge Dr, Vista, CA 92083-7986 Ph: (760) 599-2471 | Kathleen Baniwas, LMFT 780 Shadowridge Dr, Vista, CA 92083-7986 Ph: (760) 599-2471 |
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