Active NPI
Katherine Planchard, LCSW
- Clinical Social Worker
- St Petersburg, FL
National Provider Identifier
1992259279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW14796
- Practice address
- 9400 4TH St N Ste 200
St Petersburg, FL 33702-2501 - Phone
- (717) 608-0329
- NPI assigned
- Aug 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9965 | FL | |
| Clinical Social Worker | 1041C0700X | SW14796 | FL | Primary |
Addresses
Primary practice location
9400 4TH St N Ste 200
St Petersburg, FL 33702-2501
Mailing address
5980 115TH Cir N
Pinellas Park, FL 33782-2122
Phone (508) 212-6095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9965 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1992259279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5980 115TH CIR N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337822122",
"telephone_number": "508-212-6095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 4TH ST N STE 200",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337022501",
"telephone_number": "717-608-0329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLANCHARD",
"first_name": "KATHERINE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2023-12-07",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "9965",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW14796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Chelsea Pirtle
- Juliette Marie Pistorino
- Carol Ann Pittman, MD
- Mary Ann Pittman, D.M.D.
- Felicia Diane Pizana, LMHC INTERN
- Planned Parenthood of Southwest and Central FL, Inc.
- Planned Parenthood of Southwest and Central Florida
- Kelly Jean Plant, CERTIFIED NURSE AIDE
- Scott Huntly Plantz, M.D.
- Daniel Jose Plasencia, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.