Katherine L Galloway, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150104296 Issued in IL

Practice address

401 N Walnut St
Springfield, IL 62702-5033

Phone

(217) 545-7815

NPI assigned

Aug 23, 2023

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

Other names 1

• Katherine L Oehlert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Board of Trustees of Southern Illinois University

  • Clinic/Center
  • Springfield, IL
  • NPI 1366129843
  NPD

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1124802749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SARAH AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035334",
            "telephone_number": "217-553-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N WALNUT ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025033",
            "telephone_number": "217-545-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150104296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "OEHLERT",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Mary Gallagher, LPC
• Phillip Charles Galle, MD
• Maria Christine Gallina
• Brittney Ellene Gallivan, NP-C
• Delores A Gallo, CRNA
• Janice R. Gambach, LCSW
• Shyam Kiran Gandam Venkata, MD
• Gopinathan Gangadharan Nambiar
• Avani Ganta, M.B.B.S
• Zhenqiang Gao, M.D.

• Social Worker in Springfield, IL
• Providers in Springfield, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.