Individual provider Active NPI

Kathryn N Garnett, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1154424976
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005400 Issued in VA
Practice address
3113 W Marshall St
Suite 1C
Richmond, VA 23230-4730
Phone
(804) 677-0588
Fax
(804) 377-3956
NPI assigned
Sep 7, 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
Clinical Social Worker 1041C0700X 0904005400 VA Primary

Addresses

Primary practice location

3113 W Marshall St
Suite 1C
Richmond, VA 23230-4730

Mailing address

3113 W Marshall St
Suite 1C
Richmond, VA 23230-4730
Phone (804) 677-0588

Other identifiers 1

IdentifierTypeStateIssuer
0904005400OtherVALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20171205001682 VA Practitioner - Clinical Social Worker 2860759511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904005400VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Flowpeace LLC Clinical CurrentSince Sep 20, 2017 Accepting new patients
Foundations for Life Counseling Services, LLC Past Accepting new patients

Locations

6807 Patterson Ave
Ste A
Richmond, VA 23226
Phone (804) 270-1200

4914 Fitzhugh Ave
Ste 214
Richmond, VA 23230
Phone (804) 536-5752

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154424976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 W MARSHALL ST",
            "address_2": "SUITE 1C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304730",
            "telephone_number": "804-677-0588",
            "fax_number": "804-377-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 W MARSHALL ST",
            "address_2": "SUITE 1C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304730",
            "telephone_number": "804-677-0588",
            "fax_number": "804-377-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNETT",
        "first_name": "KATHRYN",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0904005400",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.