Provider Demographics
NPI:1750519435
Name:KATHOL, DIANA ALMARAZ (LCSW)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:ALMARAZ
Last Name:KATHOL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:ANGELICA
Other - Last Name:ALMARAZ; GARCIA, ALMARAZ-CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5530 OVERLAND AVE SUITE 370 MAIL STOP 317
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123
Mailing Address - Country:US
Mailing Address - Phone:619-515-2385
Mailing Address - Fax:619-589-2812
Practice Address - Street 1:325 S. MELROSE DRIVE
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081
Practice Address - Country:US
Practice Address - Phone:619-515-2385
Practice Address - Fax:619-589-2812
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171M00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator