KATHRYN MCCORMIC (LCSW) – Clinical Social Worker, NPI 1003094947

KATHRYN MCCORMIC (LCSW) is a healthcare provider. based in Palm city, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW 9100 (FL). The NPI Number for KATHRYN MCCORMIC (LCSW) is 1003094947

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN MCCORMIC (LCSW)
NPI
1003094947
Phone
(772) 634-6340
Address
5559 SW CHEROKEE ST
Enumeration Date
1 February 2008
Last Update Date
15 August 2013

Doctor Profile

Medical School Name
FLORIDA ATLANTIC UNIVERSITY, COLLEGE OF MEDICINE
Secondary Phone
9545332306
Graduation Year
2023 (3 years ago)
PAC ID
0941792543
Group Practice PAC ID
6103152269
Professional Enrollment ID
I20251121000909
Address ID
FL333126396FO3356XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

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Provider Addresses for KATHRYN MCCORMIC (LCSW)

  • Cherokee Street, Jupiter, Palm Beach County, Florida, 33458, United States

    PALM CITY, FL 349905090

    Phone: (772) 634-6340

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251121000909IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34990)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103152269View full group profile
NameSpecialtyState
Clinical Social WorkerNJ
Clinical Social WorkerFL
Clinical Social WorkerFL
Clinical Social WorkerNC
Clinical Social WorkerFL
-FL
Clinical Social WorkerFL
Mental Health CounselorFL
Clinical Social WorkerFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

Where can patients find KATHRYN MCCORMIC (LCSW)'s NPI?
You can confirm KATHRYN MCCORMIC (LCSW) with NPI 1003094947; it appears in the national provider directory.
Is KATHRYN MCCORMIC (LCSW)'s NPI currently valid?
The extract we use shows KATHRYN MCCORMIC (LCSW) as active.
What field does KATHRYN MCCORMIC (LCSW) work in?
You can think of KATHRYN MCCORMIC (LCSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does KATHRYN MCCORMIC (LCSW) practice in Florida?
You will see Palm City, Florida on file for KATHRYN MCCORMIC (LCSW) alongside any extra practice locations.
Is KATHRYN MCCORMIC (LCSW) a real provider?
This page reflects official NPPES data for NPI 1003094947. Always confirm identity and privileges with the practice and licensing boards.

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