Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katrice Christine Maliszewski

Individual provider Mental Health Counselor · NPI 1073002911

Katrice Christine Maliszewski is a Clinical Social Worker in Clearlake, California. Qualified in 2016, 10 years ago. Practices with Adventist Health Clearlake Hospital Inc, a 86-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

15230 Lakeshore Dr
Clearlake, CA 95422-8107
Phone: (707) 995-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 99738 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1073002911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2018
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address3002 Armstrong St, San Diego, CA 92111-5702

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Adventist Health Clearlake Hospital Inc. — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clearlake