Organization Active NPI

Dr. Kathryn Brzozowski, LLC

Doing business as SpeakEasy Counseling and Psychotherapy

  • Clinical Social Worker
  • Voorhees, NJ
National Provider Identifier
1124747126
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DR. KATHRYN BRZOZOWSKI, LLC
Doing business as
SpeakEasy Counseling and Psychotherapy
Practice address
4 Tallowood Dr
Voorhees, NJ 08043-2917
Phone
(185) 677-0463
NPI assigned
Aug 23, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Dr. Kathryn Martinelli Brzozowski, DSW, LCSWNPI 1962605394
Title
Owner/Psychotherapist
Phone
(856) 770-4631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4 Tallowood Dr
Voorhees, NJ 08043-2917

Mailing address

4 Tallowood Dr
Voorhees, NJ 08043-2917
Phone (185) 677-0463

Other names 1

  • SpeakEasy Counseling and Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

1016 Laurel Oak Rd
Ste 8
Voorhees, NJ 08043
Phone (856) 229-0875

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1124747126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TALLOWOOD DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432917",
            "telephone_number": "185-677-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TALLOWOOD DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432917",
            "telephone_number": "185-677-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KATHRYN BRZOZOWSKI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "BRZOZOWSKI",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MARTINELLI",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "856-770-4631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SpeakEasy Counseling and Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.