Individual provider Active NPI

Katrina Orlet, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1679829980
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2010016254 Issued in MO
Practice address
1329 Macklind Ave
Saint Louis, MO 63110-1403
Phone
(314) 541-1024
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.022293 IL
Clinical Social Worker 1041C0700X 2010016254 MO Primary

Addresses

Primary practice location

1329 Macklind Ave
Saint Louis, MO 63110-1403

Mailing address

PO Box 63211
Saint Louis, MO 63163-3211
Phone (314) 541-1024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130926000311 MO Practitioner - Clinical Social Worker 4587808811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.022293ILMDClinical Social Worker
2010016254MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katrina Orlet LLC Clinical CurrentSince Dec 11, 2021 Accepting new patients

Locations

3200 Chouteau Ave
Saint Louis, MO 63103
Phone (314) 541-1024

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.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1679829980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63211",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631633211",
            "telephone_number": "314-541-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 MACKLIND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101403",
            "telephone_number": "314-541-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLET",
        "first_name": "KATRINA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022293",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010016254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.