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

Katrina Herzog, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1124604764

Katrina Herzog, MSW, LICSW is a Clinical Social Worker in Spokane, Washington. Qualified in 2019, 7 years ago. Practices with Seattle Roots Community Health, a 50-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

100 N Howard St Ste W
Spokane, WA 99201-0508
Phone: (562) 286-2072
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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 LW61466078 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence SC61040620 (WA)

Record details

NPI number1124604764
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedMarch 23, 2021
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Seattle Roots Community Health — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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