| Kate Priest Lcsw Llc | |
|
145 Nw Central Park Plz Ste 102 Port St Lucie FL 34986-2482 | |
| (772) 218-5056 | |
| (561) 210-3253 |
| Full Name | Kate Priest Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 145 Nw Central Park Plz Ste 102, Port St Lucie, Florida |
| Authorized Official Name and Position | Kathryn Florence Priest (OWNER) |
| Authorized Official Contact | 7722185056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kate Priest Lcsw Llc 145 Nw Central Park Plz Ste 102 Port St Lucie FL 34986-2482 Ph: (772) 218-5056 | Kate Priest Lcsw Llc 145 Nw Central Park Plz Ste 102 Port St Lucie FL 34986-2482 Ph: (772) 218-5056 |
| NPI Number | 1194349910 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Medicare PECOS PAC ID | 8921420274 |
|---|---|
| Medicare Enrollment ID | O20200616000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194349910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathryn Priest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770127938 PECOS PAC ID: 3072935329 Enrollment ID: I20200616000573 |
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