Catherine E Czerniawski, PH.D.,L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149010159 Issued in IL

Practice address

25 E de Soto St
Pensacola, FL 32501-3152

Phone

(773) 733-1610

NPI assigned

Mar 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Katie Czerniawski Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1386773687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E DE SOTO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013152",
            "telephone_number": "773-733-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E DE SOTO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013152",
            "telephone_number": "773-733-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZERNIAWSKI",
        "first_name": "CATHERINE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PH.D.,L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18774",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "CZERNIAWSKI",
            "credential": "PH.D.,L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Kay M Czaplewski, NP
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• Gabrielle D'Aguiar
• Shivani D'Angelo, MD

• Clinical Social Worker in Pensacola, FL
• Providers in Pensacola, 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 May 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.