Katherine Lin Bouvatte, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2017005114 Issued in MO

Practice address

12125 Woodcrest Executive Dr Ste 110
Saint Louis, MO 63141-5009

Phone

(314) 275-8599

Fax

(314) 275-8299

NPI assigned

Aug 22, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Lin Kessler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ultima Rehab-FL LLC

  • Geriatric Physical Therapist
  • North Fort Myers, FL
  • NPI 1053970194
  NPD
• Madmar, LLC

  • Counselor
  • Saint Louis, MO
  • NPI 1053152892
  NPD (past)

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1033635982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 COLEBROOK DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194118",
            "telephone_number": "314-306-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 WOODCREST EXECUTIVE DR STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415009",
            "telephone_number": "314-275-8599",
            "fax_number": "314-275-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUVATTE",
        "first_name": "KATHERINE",
        "middle_name": "LIN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017005114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "KESSLER",
            "middle_name": "LIN",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steve Bourne, PH.D.
• Mary Lou Bourque, LPC
• Kelly B Bouse
• McKayla Bouse
• Julie Bouthillier, RN
• Jamaal K Bovell
• Ebony Bow
• Christopher Charles Bowe, MD
• Amanda Bowen, BSN RN
• Danielle B Bowen, MSW

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.