Active NPI
Kate Priest LCSW LLC
- Clinical Social Worker
- Port St Lucie, FL
National Provider Identifier
1194349910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- KATE PRIEST LCSW LLC
- Practice address
- 145 NW Central Park PLZ Ste 102
Port St Lucie, FL 34986-2482 - Phone
- (772) 218-5056
- Fax
- (561) 210-3253
- NPI assigned
- Jun 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathryn Florence Priest, LCSW
- Title
- Owner
- Phone
- (772) 218-5056
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
145 NW Central Park PLZ Ste 102
Port St Lucie, FL 34986-2482
Mailing address
145 NW Central Park PLZ Ste 102
Port St Lucie, FL 34986-2482
Phone (772) 218-5056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200616000251 | FL | Part B Supplier - Clinic/Group Practice | 8921420274 |
Receives reassigned benefits from 1 practitioner Practice locations: Port Saint Lucie, FL |
National Provider Directory
National Provider DirectoryLocations
145 NW Central Park Plz
Ste 102
Port St Lucie, FL 34986
Phone (772) 218-5056
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591574400000",
"number": "1194349910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 NW CENTRAL PARK PLZ STE 102",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862482",
"telephone_number": "772-218-5056",
"fax_number": "561-210-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 NW CENTRAL PARK PLZ STE 102",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862482",
"telephone_number": "772-218-5056",
"fax_number": "561-210-3253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATE PRIEST LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-08",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A",
"authorized_official_last_name": "PRIEST",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "FLORENCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "772-218-5056",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.