Active NPI
Kathryn Kowalczyk Powell, LCSW
- Clinical Social Worker
- Delray Beach, FL
National Provider Identifier
1114415577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW18659
- Practice address
- 550 SE 6TH Ave # 200
Delray Beach, FL 33483-5306 - Phone
- (989) 330-8105
- NPI assigned
- May 1, 2018
- Last updated
- Feb 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW18659 | FL | Primary |
Addresses
Primary practice location
550 SE 6TH Ave # 200
Delray Beach, FL 33483-5306
Mailing address
15 Fayette Dr
Ocean Ridge, FL 33435-7014
Phone (989) 330-8105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW18659 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1114415577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 FAYETTE DR",
"city": "OCEAN RIDGE",
"state": "FL",
"postal_code": "334357014",
"telephone_number": "989-330-8105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 SE 6TH AVE # 200",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835306",
"telephone_number": "989-330-8105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "KATHRYN",
"middle_name": "KOWALCZYK",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2024-02-02",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW18659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.