Individual provider Active NPI

Catherina Popa, LCSW

  • Clinical Social Worker
  • Stuart, FL
National Provider Identifier
1922411917
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 13243 Issued in FL
Practice address
465 SE Riverside Dr
Stuart, FL 34994-2584
Phone
(772) 812-7907
Fax
(877) 857-2217
NPI assigned
Jun 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 13243 FL Primary

Addresses

Primary practice location

465 SE Riverside Dr
Stuart, FL 34994-2584

Mailing address

465 SE Riverside Dr
Stuart, FL 34994-2584
Phone (772) 812-7907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 28, 2024 through Jun 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW 13243FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elysian Counseling Center LLC Current Accepting new patients
Luminescence Counseling Inc Clinical Current Accepting new patients

Locations

465 SE Riverside Dr
Stuart, FL 34994
Phone (772) 207-0716

Organizations & group practices 2

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": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1922411917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SE RIVERSIDE DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942584",
            "telephone_number": "772-812-7907",
            "fax_number": "877-857-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SE RIVERSIDE DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942584",
            "telephone_number": "772-812-7907",
            "fax_number": "877-857-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPA",
        "first_name": "CATHERINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 13243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.