Individual provider Active NPI

Kathryn Thompson Freit, L.C.S.W.

  • Clinical Social Worker
  • Hallandale Beach, FL
National Provider Identifier
1881685402
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 10987 Issued in FL
Practice address
200 Leslie Dr
Ste 917
Hallandale Beach, FL 33009-7311
Phone
(954) 830-9544
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05255400 NJ
Clinical Social Worker 1041C0700X SW 10987 FL Primary

Addresses

Primary practice location

200 Leslie Dr
Ste 917
Hallandale Beach, FL 33009-7311

Mailing address

200 Leslie Dr
Ste 917
Hallandale Beach, FL 33009-7311
Phone (954) 830-9544

Other identifiers 2

IdentifierTypeStateIssuer
11566298OtherFLCAQH
811457194OtherFLUNITED BEHAVIORAL HEALTH

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

LicenseStateTypeSpecialty
SW 10987FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dover Family Therapy Clinical PastSince Oct 31, 2012 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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1881685402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LESLIE DR",
            "address_2": "STE 917",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097311",
            "telephone_number": "954-830-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LESLIE DR",
            "address_2": "STE 917",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097311",
            "telephone_number": "954-830-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIT",
        "first_name": "KATHRYN",
        "middle_name": "THOMPSON",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05255400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11566298",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "811457194",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.