Individual provider Active NPI

Kathryn McCormic, LCSW

  • Clinical Social Worker
  • Palm City, FL
National Provider Identifier
1003094947
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 9100 Issued in FL
Practice address
5559 SW Cherokee St
Palm City, FL 34990-5090
Phone
(772) 634-6340
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 9100 FL Primary

Addresses

Primary practice location

5559 SW Cherokee St
Palm City, FL 34990-5090

Mailing address

5559 SW Cherokee St
Palm City, FL 34990-5090
Phone (772) 634-6340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251121000909 FL Practitioner - Clinical Social Worker 0941792543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Florida Atlantic University, College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A and B Counseling Services LLCGroup PAC ID 6103152269, 73 clinicians

Practice addresses (Care Compare)

3356 Laurel Oak St
Fort Lauderdale, FL 33312-6396
Phone (954) 533-2306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 9100FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A & B Counseling Services LLC CurrentSince Nov 1, 2025 Accepting new patients
A & B Counseling LLC PastSince Nov 1, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1003094947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5559 SW CHEROKEE ST",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349905090",
            "telephone_number": "772-634-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5559 SW CHEROKEE ST",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349905090",
            "telephone_number": "772-634-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMIC",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 9100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

Verify at the official NPI Registry.