Active NPI
Katherine Elizabeth Kersjes
- Clinical Social Worker
- Sanford, FL
National Provider Identifier
1902074859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 300 Bay Ave
Sanford, FL 32771 - Phone
- (407) 321-4357
- Fax
- (407) 324-9055
- NPI assigned
- Feb 13, 2008
- Last updated
- Feb 13, 2008
- Sex
- Female
- Sole proprietor
- No
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 | NU | Primary |
Addresses
Primary practice location
300 Bay Ave
Sanford, FL 32771
Mailing address
237 Fernwood Blvd
Fernpark, LA 32730
Phone (407) 831-2411
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1902074859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 FERNWOOD BLVD",
"city": "FERNPARK",
"state": "LA",
"postal_code": "32730",
"telephone_number": "407-831-2411",
"fax_number": "407-831-0195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BAY AVE",
"city": "SANFORD",
"state": "FL",
"postal_code": "32771",
"telephone_number": "407-321-4357",
"fax_number": "407-324-9055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSJES",
"first_name": "KATHERINE",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-13",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.