Active NPI
Michal Katz, LSCSW
- Clinical Social Worker
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05905
- Practice address
- 4300 SW 13TH St
Gainesville, FL 32608-4006 - Phone
- (352) 374-5600
- NPI assigned
- Nov 21, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | 05905 | KS | Primary |
Addresses
Primary practice location
4300 SW 13TH St
Gainesville, FL 32608-4006
Mailing address
4300 SW 13TH St
Gainesville, FL 32608-4006
Phone (352) 374-5600
Other practice location 1
1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600
Phone (620) 663-7595
Other practice location 2
1125 6th St SE
Willmar, MN 56201-4675
Phone (320) 235-4613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, ME, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
47 High St
Suite 7
Medford, MA 02155-4676
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05905 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizons Mental Health Center, Inc. | Clinical | Current | Accepting new patients |
| Author Health Professionals, PC | Current | Accepting new patients | |
| Katahdin Valley Health Center | Current | Accepting new patients |
Locations
360 NW 27th St
#8109
Miami, FL 33127
Phone (805) 807-3303
1600 N Lorraine St
Ste 202
Hutchinson, KS 67501
Phone (620) 663-7595
59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161
529 S Patten Rd
Patten, ME 04765
30 Houlton St
Patten, ME 04765
Phone (866) 366-5842
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Miami, FL
- NPI 1740897321
-
- Community/Behavioral Health Agency
- Hutchinson, KS
- NPI 1447354089
Clinical
-
- Federally Qualified Health Center (FQHC)
- Houlton, ME
- NPI 1376618546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1992219307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 SW 13TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326084006",
"telephone_number": "352-374-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 SW 13TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326084006",
"telephone_number": "352-374-5600"
}
],
"practiceLocations": [
{
"address_1": "1600 N Lorraine St Ste 202",
"address_purpose": "LOCATION",
"city": "Hutchinson",
"state": "KS",
"postal_code": "675015600",
"country_code": "US",
"telephone_number": "620-663-7595",
"fax_number": "620-513-5098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1125 6th St SE",
"address_purpose": "LOCATION",
"city": "Willmar",
"state": "MN",
"postal_code": "562014675",
"country_code": "US",
"telephone_number": "320-235-4613",
"fax_number": "855-625-7406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATZ",
"first_name": "MICHAL",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-21",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "05905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.