Active NPI
Kathleen Luginbill, LCSW
- Clinical Social Worker
- St Petersburg, FL
National Provider Identifier
1881023919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 7159
- Practice address
- 5800 49TH St N
Northside Professional Complex Suite 102
St Petersburg, FL 33709-2146 - Phone
- (727) 588-2345
- NPI assigned
- Nov 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 7159 | FL | Primary |
Addresses
Primary practice location
5800 49TH St N
Northside Professional Complex Suite 102
St Petersburg, FL 33709-2146
Mailing address
1385 Chesterfield Drive
Clearwater, FL 33756
Phone (727) 588-2345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 7159 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1881023919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1385 CHESTERFIELD DRIVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33756",
"telephone_number": "727-588-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 49TH ST N",
"address_2": "NORTHSIDE PROFESSIONAL COMPLEX SUITE 102",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092146",
"telephone_number": "727-588-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGINBILL",
"first_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-08",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 7159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.