Kathy Marie Raynovic , LCSW
Social Worker - Clinical • St Augustine, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kathy Raynovic has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kathy Raynovic, LCSW was a registered Social Worker - Clinical practicing in St Augustine, FL. Throughout an active medical career spanning 10 years, Kathy Raynovic provided care at the practice location at 165 SOUTHPARK BLVD until profile deactivation on 2018-11-13.
Practice Location & Contact Primary Location
165 Southpark Blvd
Suite D
St Augustine, FL 320864101
Specialty Benchmarks & Practice Insights
Comparative analytics for Social Worker - Clinical in St Augustine, FL
Practicing in St Augustine, FL (13861 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1041C0700X
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Mental Health
Licensed Mental Health Counselor
Social Worker - Clinical
Licensed Clinical Social Worker
Counselor - Mental Health
Counselor
Master of Science
Registered Nurse - Psychiatric/Mental Health
Registered Nurse
Social Worker - Clinical
Licensed Clinical Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 13, 2018
NPI status registered as active in NPPES database
Registered at 165 SOUTHPARK BLVD, SUITE D, ST AUGUSTINE, FL 320864101 (Tel: 9048247597)
Registered at 165 SOUTHPARK BLVD, SUITE D, ST AUGUSTINE, FL 320864101 (Tel: 9048247597)
Recorded as KATHY RAYNOVIC, LCSW
Social Worker (License #SW 2730 in FL)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
165 Southpark Blvd, Suite D
St Augustine, FL 320864101
Phone: 9048247597
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