Individual provider Active NPI

Catherine Anastas, LCSW

  • Clinical Social Worker
  • Saint Joseph, MI
National Provider Identifier
1336542018
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801097446 Issued in MI
Practice address
521 State St
Saint Joseph, MI 49085-1369
Phone
(269) 408-8474
Fax
(269) 408-8725
NPI assigned
Oct 8, 2014
Last updated
Oct 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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 6801097446 MI Primary

Addresses

Primary practice location

521 State St
Saint Joseph, MI 49085-1369

Mailing address

521 State St
Saint Joseph, MI 49085-1369
Phone (269) 408-8474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170322000671 NY Practitioner - Clinical Social Worker 8527343102 Reassigns benefits to 1 organization
Practice locations: East Amherst, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

78 Sable Park
East Amherst, NY 14051-2208
Phone (716) 276-0135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801097446MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Living Behavioral Health LCSW PLLC Clinical CurrentSince Mar 1, 2017 Accepting new patients

Locations

4071 Hardt Rd
Eden, NY 14057
Phone (716) 992-4466

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": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1336542018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 STATE ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851369",
            "telephone_number": "269-408-8474",
            "fax_number": "269-408-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 STATE ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851369",
            "telephone_number": "269-408-8474",
            "fax_number": "269-408-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANASTAS",
        "first_name": "CATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.