Active NPI
Katherine Theresa Sprain, LICSW
- Clinical Social Worker
- Tuscaloosa, AL
National Provider Identifier
1790324531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4398C
- Practice address
- 420 28TH Ave
Tuscaloosa, AL 35401-1088 - Phone
- (205) 737-3720
- NPI assigned
- Dec 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4398C | AL | Primary |
Addresses
Primary practice location
420 28TH Ave
Tuscaloosa, AL 35401-1088
Mailing address
4422 2ND Ave E
Northport, AL 35473-5102
Phone (205) 585-5388
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4398C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1790324531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 2ND AVE E",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354735102",
"telephone_number": "205-585-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 28TH AVE",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354011088",
"telephone_number": "205-737-3720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRAIN",
"first_name": "KATHERINE",
"middle_name": "THERESA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-26",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "4398C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
- Janice Marie Spencer, CRNP
- Kristin Shaw Spencer, CRNP
- Sarah Morgan Spencer, CRNP
- Spine & Sport Chiropractic, Inc
- Robin Spoon Barton, MEDICAL DOCTOR
- Johnna Bryant Springer, M.S., CCC-SLP
- Melanie L. Spruiell, MSW, LCSW, PIP
- Wesley L Spruill, MD
- Sputh Center for Sight, LLC
- Ambika Rani Srivastava, DMD, MPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.