NPIMap

Organization Active NPI

Kathryn Ladd, LLC

  • Clinical Social Worker
  • Council Bluffs, IA
National Provider Identifier
1962865493
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KATHRYN LADD, LLC
Practice address
508 S Main St
Council Bluffs, IA 51503-6507
Phone
(712) 352-2110
Fax
(712) 352-1688
NPI assigned
Apr 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Ms. Kathryn Ladd, LLC, LISW, LMHP
Title
Director, Owner, Clinical Social WK
Phone
(712) 352-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

508 S Main St
Council Bluffs, IA 51503-6507

Mailing address

508 S Main St
Council Bluffs, IA 51503-6507
Phone (712) 352-2110

National Provider Directory

National Provider Directory

Locations

508 S Main St
Council Bluffs, IA 51503
Phone (712) 352-2110

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1962865493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S MAIN ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515036507",
            "telephone_number": "712-352-2110",
            "fax_number": "712-352-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S MAIN ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515036507",
            "telephone_number": "712-352-2110",
            "fax_number": "712-352-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN LADD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "DIRECTOR, OWNER, CLINICAL SOCIAL WK",
        "authorized_official_telephone_number": "712-352-2110",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LLC, LISW, LMHP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.