Individual provider Active NPI

Tabitha Kuhn, LCSW

  • Clinical Social Worker
  • Lakeland, FL
National Provider Identifier
1033486477
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12941 Issued in FL
Practice address
4616 Burgundy PL
Lakeland, FL 33813-2301
Phone
(386) 559-0227
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW12941 FL Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

4616 Burgundy PL
Lakeland, FL 33813-2301

Mailing address

4616 Burgundy PL
Lakeland, FL 33813-2301
Phone (385) 559-0227

Other practice location 1

225 S Swoope Ave
#211
Maitland, FL 32751-5704
Phone (407) 622-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1033486477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 BURGUNDY PL",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132301",
            "telephone_number": "385-559-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 BURGUNDY PL",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132301",
            "telephone_number": "386-559-0227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 S Swoope Ave",
            "address_2": "#211",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327515704",
            "country_code": "US",
            "telephone_number": "407-622-0444",
            "fax_number": "407-699-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUHN",
        "first_name": "TABITHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12941",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.