Organization Active NPI

Kate Priest LCSW LLC

  • Clinical Social Worker
  • Port St Lucie, FL
National Provider Identifier
1194349910
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Ms. Kathryn Florence Priest, LCSWNPI 1770127938
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.