Individual provider Active NPI

Kathleen Saintcross, LMSW CC

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1275751760
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10438 Issued in LA
Practice address
4625 Gary Mikel Ave
Metairie, LA 70002-1459
Phone
(504) 885-0509
NPI assigned
Apr 23, 2007
Last updated
Apr 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MC10656 ME
Clinical Social Worker 1041C0700X 10438 LA Primary

Addresses

Primary practice location

4625 Gary Mikel Ave
Metairie, LA 70002-1459

Mailing address

4625 Gary Mikel Ave
Metairie, LA 70002-1459
Phone (504) 885-0509

Other identifiers 1

IdentifierTypeStateIssuer
432410299MedicaidME

Other names 1

  • Kathleen Koch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20091116000401 LA Practitioner - Clinical Social Worker 0648318410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caravelle Care IncGroup PAC ID 7416243985, 10 clinicians

Practice addresses (Care Compare)

255 W Florida St
Suite 200
Mandeville, LA 70448-3022
Phone (504) 267-7324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC10656MEMDSocial Worker
10438LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Caravelle Care Inc. Social Worker CurrentSince Jun 6, 2016 Accepting new patients

Locations

255 W Florida St
Ste 200
Mandeville, LA 70448
Phone (504) 267-7324

4300 S I 10 Service Rd W
Ste 102
Metairie, LA 70001
Phone (504) 267-7324

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1275751760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 GARY MIKEL AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021459",
            "telephone_number": "504-885-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 GARY MIKEL AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021459",
            "telephone_number": "504-885-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINTCROSS",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "LMSW CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC10656",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "10438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432410299",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "KOCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.