Katharine Bickley
Individual provider Active NPI Clinical Social Worker · Richmond Hill, GA
NPI 1821722232 · NPPES record last updated Jul 12, 2022
Key facts
- NPI
- 1821722232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW008146 (GA)
- Practice address
- 129 Aubrey TRL
Richmond Hill, GA 31324-8410 - Phone
- (443) 643-8200
- NPI assigned
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW008146 | GA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | CSW008146 | GA | Yes |
Addresses
Primary practice location
129 Aubrey TRL
Richmond Hill, GA 31324-8410
Mailing address
129 Aubrey TRL
Richmond Hill, GA 31324-8410
Phone (443) 643-8200
Other providers in Richmond Hill, GA
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- Jillian Frances Bensen-Eder
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- Lisa Marie Bettio
- Beyond Measures Therapy LLC
- Mitchell David Billes
- Julie Bing
- Malorie Blake
- Blanket Transportation
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All providers in Richmond Hill, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.