Individual provider Active NPI

Kathleen Ginn Attaway, L.C.S.W.

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1295051175
Registry record updated Jun 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5070 Issued in FL
Practice address
2223 Shadehill CT
Tampa, FL 33612-5024
Phone
(813) 495-4773
Fax
(813) 935-4771
NPI assigned
Apr 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2010

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 SW5070 FL Primary

Addresses

Primary practice location

2223 Shadehill CT
Tampa, FL 33612-5024

Mailing address

1850 Providence Lakes Blvd
#1121
Brandon, FL 33511-1880
Phone (813) 361-2755

Other names 1

  • Kathleen Ginn Fiorello Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW5070FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
John P McDonough III PastSince Oct 1, 2004 Accepting new patients
GPS II Past Accepting new patients

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": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276992000000",
    "number": "1295051175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 PROVIDENCE LAKES BLVD",
            "address_2": "#1121",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335111880",
            "telephone_number": "813-361-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 SHADEHILL CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125024",
            "telephone_number": "813-495-4773",
            "fax_number": "813-935-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTAWAY",
        "first_name": "KATHLEEN",
        "middle_name": "GINN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "FIORELLO",
            "middle_name": "GINN",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.