Avenues Psychotherapy Collective LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AVENUES PSYCHOTHERAPY COLLECTIVE LCSW PLLC

Practice address

136 S Main St Ste 400
Salt Lake City, UT 84101-3632

Phone

(949) 678-4433

NPI assigned

Aug 29, 2025

Organization subpart

No

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

Authorized official

Name

Katherine M Kowalczik, LCSWNPI 1013451434

Title

Founder

Phone

(949) 678-4433

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Kowalczik, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1013451434
  NPD Authorized official

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1144109455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 S MAIN ST STE 400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841013632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S MAIN ST STE 400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841013632",
            "telephone_number": "949-678-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES PSYCHOTHERAPY COLLECTIVE LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "KOWALCZIK",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "949-678-4433",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Courtney Averett, SUDC
• Danielle Averett
• Joey Averett

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.