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CATHY SUPON CONNOR LLC
NPI 1669897443
Social Worker - Clinical in Panama City, FL

Active since March 03, 2014
429 S TYNDALL PKWY STE G, PANAMA CITY, FL 32404(850) 381-3701 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cathy Supon Connor Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CATHY SUPON CONNOR LLC (NPI 1669897443) is a healthcare organization registered as a clinical in Panama City, Florida and active in the NPI registry since March 2014. The organization lists Cathy Supon Connor, Lcsw/owner, as its authorized official.

NPPES Registry Identity

NPI1669897443
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCATHY SUPON CONNOR LLC
Location Address429 S TYNDALL PKWY STE GPanama City, FL 32404-6746
Mailing Address429 S Tyndall Pkwy Ste GPanama City, FL 32404-6746 · (850) 381-3701
Phone(850) 381-3701
Organization SubpartNo
Authorized OfficialCathy Supon ConnorLcsw/owner · (850) 381-1520
Enumeration DateMarch 3, 2014
Last NPPES UpdateMay 23, 2014
✔ NPI 1669897443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW8892
Definition
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.
429 S TYNDALL PKWY STE G, Panama City, FL 32404
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Other Identifiers 2

Medicaid769063100FL
Medicare PIND0095Z

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cathy Supon Connor Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20140523000961Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cathy Supon Connor LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cathy Connor, LCSW
Clinical Social Worker
NPI 1063698025
220 9TH ST
Port St Joe, FL 32456
(850) 215-0025
✔ PECOS29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cathy Supon Connor LLC's NPI number?

The NPI number for Cathy Supon Connor LLC is 1669897443. It was assigned to this organization in the NPPES registry on March 3, 2014.

Where is Cathy Supon Connor LLC located?

Cathy Supon Connor LLC is located at 429 S Tyndall Pkwy Ste G, Panama City, FL 32404. The listed phone number is (850) 381-3701.

What is Cathy Supon Connor LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Cathy Supon Connor LLC enrolled in Medicare?

Yes. Cathy Supon Connor LLC is registered in the Medicare PECOS enrollment system.

When is Cathy Supon Connor LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Cathy Supon Connor LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Cathy Supon Connor LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cathy Supon Connor LLC was last updated on May 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.