Active NPI
Katelyn Pilgrim, LBSW,SMSW,LMAC
- Social Worker
- Topeka, KS
National Provider Identifier
1396496964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9023
- Practice address
- 1401 SW Topeka Blvd
Topeka, KS 66612-1818 - Phone
- (785) 260-6688
- Fax
- (785) 408-5485
- NPI assigned
- Jan 14, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 9023 | KS | Primary |
Addresses
Primary practice location
1401 SW Topeka Blvd
Topeka, KS 66612-1818
Mailing address
130 E 5TH St
Newton, KS 67114-2206
Phone (316) 283-6743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9023 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mirror, Inc. | Current | Accepting new patients |
Locations
130 E 5th St
Newton, KS 67114
Phone (316) 283-6743
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 and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Newton, KS
- NPI 1053431676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1396496964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 E 5TH ST",
"city": "NEWTON",
"state": "KS",
"postal_code": "671142206",
"telephone_number": "316-283-6743",
"fax_number": "316-283-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 SW TOPEKA BLVD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666121818",
"telephone_number": "785-260-6688",
"fax_number": "785-408-5485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILGRIM",
"first_name": "KATELYN",
"credential": "LBSW,SMSW,LMAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-14",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "9023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.