Cathy Christmas, LCSW

Individual provider Active NPI Clinical Social Worker · Belleair, FL

NPI 1447690409 · NPPES record last updated Jul 4, 2013

Key facts

NPI
1447690409
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
SW11364 (FL)
Practice address
401 Corbett St
340B
Belleair, FL 33756-7309
Phone
(813) 416-3563
NPI assigned
Jul 4, 2013
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SW11364FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
We Are Back on Track LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW11364 FL Yes

Addresses

Primary practice location

401 Corbett St
340B
Belleair, FL 33756-7309

Mailing address

35106 Roth LN
Dade City, FL 33525-0408
Phone (813) 416-3563

Other providers in Belleair, FL

All providers in Belleair, FL · Clinical Social Worker in Florida

Sources for this page

Verify at the official NPI Registry.