Kathryn Flagg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW19878 Issued in FL

Practice address

820 E Park Ave Ste I100
Tallahassee, FL 32301-2600

Phone

(850) 765-6769

NPI assigned

Dec 19, 2021

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Hummel Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Florida State University College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulf Wind Counseling LLCGroup PAC ID 4981082559, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gulf Wind Counseling LLC

  • Clinical Social Worker
  • Tallahassee, FL
  • NPI 1841945623
  Medicare reassignment Care Compare group NPD
• Lifespan Psychiatric Services LLC

  dba Lifespan Psychiatric & Internal Medicine Services

  • Psychiatry Physician
  • Tallahassee, FL
  • NPI 1659940377

  Clinical

  Medicare reassignment NPD
• Better Living Solutions Recovery Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tallahassee, FL
  • NPI 1295292092
  NPD
• Better Living Solutions, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tallahassee, FL
  • NPI 1053089961
  NPD
• Lifespan Psychiatric Services, LLC

  dba Lifespan Psychiatric and Internal Medicine Services

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1679317127
  NPD (past)

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

{
    "created_epoch": "1639872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1326708322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 GONE FISHIN LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085662",
            "telephone_number": "352-231-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E PARK AVE STE I100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012600",
            "telephone_number": "850-765-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAGG",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-19",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "HUMMEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Marie Fitton, M.S., CF-SLP
• Colby Fitzgerald
• April Fitzpatrick, MS
• Fla a and M University Student HLTH Phcy
• Margie Joyce Flad, RPH
• Laquanda Flagg, PHARM D
• Aaron W Flanders, MD
• Lisa M. Flannagan, M.D.
• Sheyla Kay Flatt
• Alexandra Fleet, RD LDN

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.