Kate N Sjostrom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5573 Issued in TN

Practice address

617 Potomac PL Ste 403
Smyrna, TN 37167-5657

Phone

(615) 667-0037

Fax

(615) 331-5649

NPI assigned

May 25, 2011

Last updated

Aug 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empower Therapy Solutions, Inc

  • Clinical Social Worker
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  • NPI 1033626593
  NPD Authorized official
• Volunteer Behavioral Health Care System

  • Counselor
  • Murfreesboro, TN
  • NPI 1043267107
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693008000000",
    "number": "1912290867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 SWEETWATER DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277872",
            "telephone_number": "615-667-0037",
            "fax_number": "615-331-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 POTOMAC PL STE 403",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675657",
            "telephone_number": "615-667-0037",
            "fax_number": "615-331-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SJOSTROM",
        "first_name": "KATE",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2023-08-26",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TENNESSEE",
            "identifier": "5573",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Signature Smiles Family Dentistry
• Candace Denise Simmons, DDS
• Martiyha Simmons, DDS
• Tera Jeanette Simpson, FNP
• Hannah Singleton
• Libby Skolnik, OTR/L
• Sleep Center of Hermitage, PLLC
• Kevin Anthony Sliwinski, P.T.
• Kari Slukich, CRNA
• Jennifer Edwards Smallbone, MS-CF-SLP

• Clinical Social Worker in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2023; 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.