Organization Active NPI

Patricia Katz,LCSW PA

  • Clinical Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1851565923
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6007 Issued in FL
Legal business name
PATRICIA KATZ,LCSW PA
Practice address
10031 Pines Blvd
Suite 240
Pembroke Pines, FL 33024-6179
Phone
(954) 801-8174
Fax
(954) 217-8547
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Ms. Pat J Katz, LCSW
Title
President
Phone
(954) 801-8174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW6007 FL Primary

Addresses

Primary practice location

10031 Pines Blvd
Suite 240
Pembroke Pines, FL 33024-6179

Mailing address

762 Heritage Dr
Weston, FL 33326-4539
Phone (954) 801-8174

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051114000395 FL Part B Supplier - Clinic/Group Practice 2668491291 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

10031 Pines Blvd
Ste 240
Pembroke Pines, FL 33024
Phone (954) 801-8174

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1851565923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 HERITAGE DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333264539",
            "telephone_number": "954-801-8174",
            "fax_number": "954-217-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 PINES BLVD",
            "address_2": "SUITE 240",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246179",
            "telephone_number": "954-801-8174",
            "fax_number": "954-217-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA KATZ,LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-801-8174",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.