Individual provider Active NPI

Kathleen C Lembo, LCSW

  • Social Worker
  • Vero Beach, FL
National Provider Identifier
1083703706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW4618 Issued in FL
Practice address
777 37TH Street
Suite C101 New Horizons Vero Beach Outpatient
Vero Beach, FL 32960
Phone
(772) 778-7217
Fax
(772) 778-7220
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW4618 FL Primary

Addresses

Primary practice location

777 37TH Street
Suite C101 New Horizons Vero Beach Outpatient
Vero Beach, FL 32960

Mailing address

575 18TH Ave
Vero Beach, FL 32962
Phone (772) 562-6096

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083703706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 18TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32962",
            "telephone_number": "772-562-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 37TH STREET",
            "address_2": "SUITE C101 NEW HORIZONS VERO BEACH OUTPATIENT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-778-7217",
            "fax_number": "772-778-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMBO",
        "first_name": "KATHLEEN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW4618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.