Katherine Kirkpatrick List, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4161C Issued in AL

Practice address

1910 Cherokee Ave SW Ste a
Cullman, AL 35055-5502

Phone

(256) 775-8824

Fax

(256) 775-8830

NPI assigned

Jul 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Elizabeth Kirkpatrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1104303387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 WAYNE RD NW STE 6",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358063573",
            "telephone_number": "256-288-3333",
            "fax_number": "256-288-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 CHEROKEE AVE SW STE A",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555502",
            "telephone_number": "256-775-8824",
            "fax_number": "256-775-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIST",
        "first_name": "KATHERINE",
        "middle_name": "KIRKPATRICK",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4161C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "KIRKPATRICK",
            "middle_name": "ELIZABETH",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Paschal Licata, MD
• Life Care Hospice
• Alexis Lindsey
• Emily Lindsey, MA
• Kristy Lindsey
• Carol A Livingston, CRNP
• Natalie Melissa Livingston, RD, RDN
• Scott Eugene Lochridge, ATC
• Lynwood Locke, CRNA
• Long-Term Care Physicians of Alabama Inc

• Clinical Social Worker in Cullman, AL
• Providers in Cullman, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.