Individual provider Active NPI

Kaitlin Jean Spink, LMSW

  • Social Worker
  • Birmingham, AL
National Provider Identifier
1427562859
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
3748G Issued in AL
Practice address
2681 Rocky Ridge LN
Birmingham, AL 35216-4809
Phone
(205) 945-0037
Fax
(205) 945-0031
NPI assigned
Nov 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 3748G AL Primary

Addresses

Primary practice location

2681 Rocky Ridge LN
Birmingham, AL 35216-4809

Mailing address

2681 Rocky Ridge LN
Birmingham, AL 35216-4809
Phone (205) 945-0037

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

LicenseStateTypeSpecialty
3748GALMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katie Locklin Counseling & Consulting LLC Current Accepting new patients
Alabama Baptist Children'S Homes Dba Pathways Professional Counseling Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1427562859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 ROCKY RIDGE LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164809",
            "telephone_number": "205-945-0037",
            "fax_number": "205-945-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 ROCKY RIDGE LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164809",
            "telephone_number": "205-945-0037",
            "fax_number": "205-945-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINK",
        "first_name": "KAITLIN",
        "middle_name": "JEAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "3748G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.