Gwen Kittell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18984 Issued in AZ

Practice address

11071 W Canterbury Dr
Sun City, AZ 85351-3716

Phone

(248) 462-3209

NPI assigned

Nov 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Bridges, Inc.

  • Adult Mental Health Clinic/Center
  • Page, AZ
  • NPI 1558095315

  AZ, Single Specialty

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  AZ, Clinical

  Medicare reassignment NPD
• Community Bridges, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Yuma, AZ
  • NPI 1861722175

  Single Specialty

  NPD
• Community Bridges, Inc.

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1427596196

  Single Specialty

  NPD
• Community Bridges, Inc.

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1588348775
  NPD

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1053914630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11071 W CANTERBURY DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513716",
            "telephone_number": "248-462-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11071 W CANTERBURY DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513716",
            "telephone_number": "248-462-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTELL",
        "first_name": "GWEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "18984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Kesti, CRNA
• Amir R Khan, MD
• Mohammad Khan
• Muhammad Khan, DO
• Annie Khurana, MD
• Shayna Caroline Klein, M.D.
• Anthony R Kleinhans, MA, LPCC
• Samantha Kline, PA
• Jason James Koczman, PA-C
• Sara Komosa, FNP-C

• All providers in Sun City, AZ
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.