Organization Active NPI

Kathryn Scrivener, LCSW LLC

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1801418348
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KATHRYN SCRIVENER, LCSW LLC
Doing business as
Kathryn Scrivener, LCSW
Practice address
3201 Shamrock St S Ste 103
Tallahassee, FL 32309-3349
Phone
(850) 566-0648
NPI assigned
May 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Kathryn Scrivener, LCSWNPI 1205251501
Title
Owner
Phone
(850) 566-0648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Point of Service 305S00000X

Addresses

Primary practice location

3201 Shamrock St S Ste 103
Tallahassee, FL 32309-3349

Mailing address

3201 Shamrock St S Ste 103
Tallahassee, FL 32309-3349
Phone (850) 566-0648

Other names 1

  • Kathryn Scrivener, LCSW Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201203000301 FL Part B Supplier - Clinic/Group Practice 1456762012 Receives reassigned benefits from 1 practitioner
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1801418348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 SHAMROCK ST S STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093349",
            "telephone_number": "850-566-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SHAMROCK ST S STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093349",
            "telephone_number": "850-566-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN SCRIVENER, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "SCRIVENER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-566-0648",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathryn Scrivener, LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kathryn Scrivener, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.