Kathleen Sue Powell, MSW LCSW ACSW BCD CI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149001513 Issued in IL

Practice address

1717 N Naper Blvd
Ste 200
Naperville, IL 60563-8802

Phone

(630) 369-2494

Fax

(630) 245-0337

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Kathleen Sue Duncan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1053478560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N NAPER BLVD",
            "address_2": "STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638802",
            "telephone_number": "630-369-2494",
            "fax_number": "630-245-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N NAPER BLVD",
            "address_2": "STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638802",
            "telephone_number": "630-369-2494",
            "fax_number": "630-245-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KATHLEEN",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW ACSW BCD CI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149001513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "149001513",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "DUNCAN",
            "middle_name": "SUE",
            "prefix": "MS.",
            "credential": "MSW LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenneth Charles Potts, LCPC, LMFT, LSW
• Natalie Potts, LCSW
• Nikitha Potturi, MD
• Christopher Poulakos, LCSW
• Michael Pourtabib, M.D.
• Michelle Powell, R.O.T.
• Powerback Rehabilitation LLC
• Michaela Powers
• Allison Pozzi
• Angela Teresa Pozzi, LCPC

• Clinical Social Worker in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.