Katie Louise De Witt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18319 Issued in FL

Practice address

515 Arbor Ridge LN
Titusville, FL 32780-1904

Phone

(321) 704-5408

NPI assigned

Mar 6, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1396445722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ARBOR RIDGE LN",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327801904",
            "telephone_number": "321-704-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ARBOR RIDGE LN",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327801904",
            "telephone_number": "321-704-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE WITT",
        "first_name": "KATIE",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney A Davis
• Dawn Warner LMHC, Inc
• Alexander David Dawson, ATC, LAT
• Cheyanne Lee Day
• Sabrina De la Fe
• Peter Deballi III, M.D.
• Manuel G Dee, M.D.
• Dayne Alan Deeds, CHIROPRACTOR
• Patricia C Deisler, MD
• Rob Garrett Diokno Del Castillo, OTR/L

• Clinical Social Worker in Titusville, FL
• Providers in Titusville, 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 Mar 6, 2023; 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.