Active NPI
Catherine Joan Piazza, LCSW
- Clinical Social Worker
- Springdale, AR
National Provider Identifier
1992721716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSCSW1158
- Practice address
- 703 N Thompson St
Springdale, AR 72764-3205 - Phone
- (479) 856-9541
- NPI assigned
- Jul 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSCSW1158 | KS | Primary |
Addresses
Primary practice location
703 N Thompson St
Springdale, AR 72764-3205
Mailing address
14840 Trace Branch Rd
West Fork, AR 72774-9026
Phone (479) 856-9541
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100307170B | Medicaid | KS | |
| 068579 | Other | KS | BLUE CROSS BLUE SHIELD |
Other names 1
- Ms. Catherine Joan Mills
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1158 | KS | MD | Clinical Psychologist |
| LSCSW1158 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Medical Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Andover, KS
- NPI 1235310376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1992721716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14840 TRACE BRANCH RD",
"city": "WEST FORK",
"state": "AR",
"postal_code": "727749026",
"telephone_number": "479-856-9541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 N THOMPSON ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727643205",
"telephone_number": "479-856-9541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIAZZA",
"first_name": "CATHERINE",
"middle_name": "JOAN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "LSCSW1158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100307170B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "068579",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "MILLS",
"middle_name": "JOAN",
"prefix": "MS.",
"credential": "LSCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.