Individual provider Active NPI

Kathleen E Naugle, CSW

  • Clinical Social Worker
  • Seaford, DE
National Provider Identifier
1861537557
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000517 Issued in DE
Practice address
306 E Stein Hwy
Seaford, DE 19973-1416
Phone
(302) 629-0112
Fax
(302) 628-9043
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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 Q1-0000517 DE Primary

Addresses

Primary practice location

306 E Stein Hwy
Seaford, DE 19973-1416

Mailing address

306 E Stein Hwy
Seaford, DE 19973-1416
Phone (302) 629-0112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20081001000156 DE Practitioner - Clinical Social Worker 3173582244 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0000517DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey Counseling PA Clinical CurrentSince Jul 1, 2002 Accepting new patients
Mental Health Access Past Accepting new patients
Jeanette M S Zaimes MD Past Accepting new patients
Psychological Associates of Southern Delaware PastSince Jul 1, 2002 Accepting new patients

Locations

11023 Joe Warrington Dr
Laurel, DE 19956
Phone (302) 280-5256

306 E Stein Hwy
Seaford, DE 19973
Phone (302) 629-0112

Organizations & group practices 4

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1861537557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E STEIN HWY",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199731416",
            "telephone_number": "302-629-0112",
            "fax_number": "302-628-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E STEIN HWY",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199731416",
            "telephone_number": "302-629-0112",
            "fax_number": "302-628-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUGLE",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.