Active NPI
Kathryn Thompson Freit, L.C.S.W.
- Clinical Social Worker
- Hallandale Beach, FL
National Provider Identifier
1881685402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 10987
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11566298 | Other | FL | CAQH |
| 811457194 | Other | FL | UNITED 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
| License | State | Type | Specialty |
|---|---|---|---|
| SW 10987 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dover Family Therapy | Clinical | 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.
-
- Clinical Social Worker
- Toms River, NJ
- NPI 1841472545
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.