Catherine Misita LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C7440 Issued in MS

Legal business name

CATHERINE MISITA LCSW, LLC

Practice address

113 N Union St
Natchez, MS 39120-3331

Phone

(601) 870-5858

Fax

(601) 442-9231

NPI assigned

Aug 7, 2017

Last updated

Feb 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine Misita, LCSWNPI 1790031607

Title

Owner

Phone

(601) 870-5858

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine Misita, LCSW

  • Clinical Social Worker
  • Natchez, MS
  • NPI 1790031607
  NPD Authorized official

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1609391101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DUNBAR RD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391209373",
            "telephone_number": "601-870-5858",
            "fax_number": "601-442-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N UNION ST",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203331",
            "telephone_number": "601-870-5858",
            "fax_number": "601-442-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE MISITA LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "MISITA",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-870-5858",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C7440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05131250",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Natchez, MS
• Providers in Natchez, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.