Active NPI
Katherine M Miterko
- Social Worker
- South Bend, IN
National Provider Identifier
1245986967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33010630A
- Practice address
- 51728 Indiana State Route 933
South Bend, IN 46637-1706 - Phone
- (574) 323-1345
- Fax
- (574) 217-4589
- NPI assigned
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 33010630A | IN | Primary |
Addresses
Primary practice location
51728 Indiana State Route 933
South Bend, IN 46637-1706
Mailing address
51728 Indiana State Route 933
South Bend, IN 46637-1706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33010630A | IN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1245986967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51728 INDIANA STATE ROUTE 933",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466371706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51728 INDIANA STATE ROUTE 933",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466371706",
"telephone_number": "574-323-1345",
"fax_number": "574-217-4589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITERKO",
"first_name": "KATHERINE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33010630A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.