Individual provider Active NPI

Natascha Katovich, LCSW

  • Clinical Social Worker
  • Lake City, FL
National Provider Identifier
1699421560
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10258
Practice address
4812 W US Highway 90
Lake City, FL 32055-5126
Phone
(386) 466-1106
Fax
(386) 466-1802
NPI assigned
Mar 1, 2022
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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 SW10258 Primary

Addresses

Primary practice location

4812 W US Highway 90
Lake City, FL 32055-5126

Mailing address

PO Box 1646
Lake City, FL 32056-1646
Phone (773) 531-6692

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL eclinicalworks Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • 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
I20220420000053 FL Practitioner - Clinical Social Worker 0648667758 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Access Wellness Healthcare Corp Clinical CurrentSince Aug 1, 2023 Accepting new patients
Balanced Wellbeing LLC Clinical CurrentSince Mar 1, 2022 Accepting new patients
Emory Medical Corporation PastSince Mar 6, 2022 Accepting new patients
Emory Medical Corporation PastSince Mar 6, 2022 Accepting new patients

Locations

165 SW Vision Gln
Lake City, FL 32025
Phone (352) 494-6692

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1699421560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1646",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320561646",
            "telephone_number": "773-531-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 W US HIGHWAY 90",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320555126",
            "telephone_number": "386-466-1106",
            "fax_number": "386-466-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATOVICH",
        "first_name": "NATASCHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "SW10258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eclinicalworks",
            "affiliation": "N",
            "endpointDescription": "eclinical",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "eclinicalworks",
            "address_1": "4812 W US Highway 90",
            "city": "Lake City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320555126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.