IndividualActive
Katherine Wilborn, PHD, LCSW, BCD
NPI 1619904976 · Clinical Social Worker · Melbourne Beach, FL
Provider details
- NPI number
- 1619904976
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- PHD, LCSW, BCD
- Sex
- Female
- Sole proprietor
- Yes
- License
- SW 2128 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1010 Atlantic St
Suite a
Melbourne Beach, FL 32951-2364
Phone: (321) 728-7011
Fax: (321) 728-7011
Street-level locationGet directions
Mailing address
502 2nd Ave
Melbourne Beach, FL 32951-2512
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2013-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.