Individual provider Active NPI

Katherine Sebestik, MSW, LCSW, RPT

  • Clinical Social Worker
  • Richmond Heights, MO
National Provider Identifier
1447604764
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2015040701 Issued in MO
Practice address
1034 S Brentwood Blvd
Suite 555
Richmond Heights, MO 63117-1223
Phone
(314) 312-3016
NPI assigned
Apr 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2015040701 MO Primary

Addresses

Primary practice location

1034 S Brentwood Blvd
Suite 555
Richmond Heights, MO 63117-1223

Mailing address

1034 S Brentwood Blvd
Suite 555
Richmond Heights, MO 63117-1223
Phone (314) 312-3016

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
2015040701MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1447604764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD",
            "address_2": "SUITE 555",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171223",
            "telephone_number": "314-312-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD",
            "address_2": "SUITE 555",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171223",
            "telephone_number": "314-312-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBESTIK",
        "first_name": "KATHERINE",
        "credential": "MSW, LCSW, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015040701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.