Individual provider Active NPI

Laurie Katon, LCSW

  • Clinical Social Worker
  • Prescott, AZ
National Provider Identifier
1861470056
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12430 Issued in AZ
Practice address
340 N Mount Vernon Ave
Prescott, AZ 86301-2620
Phone
(928) 445-8393
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12430 AZ Primary

Addresses

Primary practice location

340 N Mount Vernon Ave
Prescott, AZ 86301-2620

Mailing address

451 Hillcrest Dr
Prescott, AZ 86303-5813
Phone (928) 541-9826

Other identifiers 1

IdentifierTypeStateIssuer
Z121191OtherAZMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080410000670 AZ Practitioner - Clinical Social Worker 0244296572 Practice locations: Prescott, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

340 N Mount Vernon Ave
Prescott, AZ 86301-2620
Phone (928) 445-8393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036862NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel B Wasserman PHD PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1861470056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 HILLCREST DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863035813",
            "telephone_number": "928-541-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N MOUNT VERNON AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012620",
            "telephone_number": "928-445-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATON",
        "first_name": "LAURIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "12430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z121191",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.