Cathy Supon Connor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8892 Issued in FL

Practice address

220 9TH St
Port St Joe, FL 32456-1924

Phone

(850) 215-0025

NPI assigned

Jan 21, 2008

Last updated

Sep 27, 2019By the provider in NPPES

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

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

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cathy Supon Connor LLC

  • Clinical Social Worker
  • Panama City, FL
  • NPI 1669897443
  Medicare reassignment NPD Authorized official
• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047
  Medicare reassignment NPD

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1063698025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 PARKWAY DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324047328",
            "telephone_number": "850-215-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 9TH ST",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561924",
            "telephone_number": "850-215-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "CATHY",
        "middle_name": "SUPON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chirolife Wellness
• Coastal Foot and Ankle Clinic PA.
• Coastal Therapy Associates LLC
• Rebecca Lindsey Collingsworth, RN
• Mary N Coniglio, LCSW
• Dolores Ann Conroy, ARNP
• Christian Laine Cox, APRN
• Chrystal R Cox, MSOTR/L
• Henry Richard Cozine, PA
• Susan Howard Culverhouse, M.D.

• Clinical Social Worker in Port St Joe, FL
• Providers in Port St Joe, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.