Active NPI
Kathleen M Flanigan, LCSW
- Clinical Social Worker
- Encinitas, CA
National Provider Identifier
1093709586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS10380
- Practice address
- 741 Garden View CT
Suite 109
Encinitas, CA 92024-2470 - Phone
- (760) 944-8287
- Fax
- (760) 944-8287
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- 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 | LCS10380 | CA | Primary |
Addresses
Primary practice location
741 Garden View CT
Suite 109
Encinitas, CA 92024-2470
Mailing address
741 Garden View CT
Suite 109
Encinitas, CA 92024-2470
Phone (760) 944-8287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6749634 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101230000832 | CA | Practitioner - Clinical Social Worker | 9638367907 | Practice locations: Encinitas, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
741 Garden View CT
Suite 109
Encinitas, CA 92024-2471
Phone (760) 944-8287
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS10380 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1093709586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 GARDEN VIEW CT",
"address_2": "SUITE 109",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920242470",
"telephone_number": "760-944-8287",
"fax_number": "760-944-8287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 GARDEN VIEW CT",
"address_2": "SUITE 109",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920242470",
"telephone_number": "760-944-8287",
"fax_number": "760-944-8287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANIGAN",
"first_name": "KATHLEEN",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS10380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6749634",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.