Active NPI
Deborah Cantor Katsikas, LCSW
- Clinical Social Worker
- South Miami, FL
National Provider Identifier
1356620678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW5773
- Practice address
- 5711 S Dixie Hwy
South Miami, FL 33143-3602 - Phone
- (305) 667-1036
- NPI assigned
- Aug 4, 2011
- Last updated
- Apr 10, 2012
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW5773 | FL | Primary |
Addresses
Primary practice location
5711 S Dixie Hwy
South Miami, FL 33143-3602
Mailing address
5711 S Dixie Hwy
South Miami, FL 33143-3602
Phone (305) 667-1036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334016000000",
"number": "1356620678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5711 S DIXIE HWY",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331433602",
"telephone_number": "305-667-1036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5711 S DIXIE HWY",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331433602",
"telephone_number": "305-667-1036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATSIKAS",
"first_name": "DEBORAH",
"middle_name": "CANTOR",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-04",
"last_updated": "2012-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW5773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.