Active NPI
Joshua Kates, LCSW
- Clinical Social Worker
- West Palm Beach, FL
National Provider Identifier
1083920193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15907
- Practice address
- 1645 Palm Beach Lakes Blvd Ste 1200
West Palm Beach, FL 33401-2214 - Phone
- (561) 693-8840
- Fax
- (877) 832-8784
- NPI assigned
- Aug 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW15907 | FL | Primary |
Addresses
Primary practice location
1645 Palm Beach Lakes Blvd Ste 1200
West Palm Beach, FL 33401-2214
Mailing address
5707 Fountains Dr S
Lake Worth, FL 33467-5781
Phone (908) 625-4851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083920193 | Other | NPI |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1083920193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5707 FOUNTAINS DR S",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334675781",
"telephone_number": "908-625-4851",
"fax_number": "877-832-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 PALM BEACH LAKES BLVD STE 1200",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012214",
"telephone_number": "561-693-8840",
"fax_number": "877-832-8784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATES",
"first_name": "JOSHUA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-26",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1083920193",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.