Kathleen Collins Seibert, MA/LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.006231 Issued in IL

Practice address

4500 Memorial Dr
Memorial Senior Care - Memorial Hospital
Belleville, IL 62226-5360

Phone

(618) 257-5986

NPI assigned

Sep 12, 2012

Last updated

Jan 11, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kathleen Collins Seibert Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Diverse Ventures, LLC

  • Clinical Psychologist
  • Saint Louis, MO
  • NPI 1225058001
  NPD (past)

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1821348228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 8101",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622228101",
            "telephone_number": "618-977-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL DR",
            "address_2": "MEMORIAL SENIOR CARE - MEMORIAL HOSPITAL",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265360",
            "telephone_number": "618-257-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "KATHLEEN",
        "middle_name": "COLLINS",
        "credential": "MA/LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005643",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.006231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "COLLINS SEIBERT",
            "credential": "MA/LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Anne Schwigen, FNP
• Melissa Scott
• Tamara Scott, LPN
• Lesa Renee' Seales, AA-C
• Catherine Lucille Seaman
• Lindsey Michelle Senci, FNP-C
• Kimberly Lee Senters, M.A.T.
• Sewhshs Medical Group Inc.
• Trudy M Shady, MD
• Megan T Shah, OT

• Clinical Social Worker in Belleville, IL
• Providers in Belleville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.