Kathleen Gorman-Ezell, PH.D, Lisw, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0700024-SUPV Issued in OH

Legal business name

KATHLEEN GORMAN-EZELL, PH.D, LISW, LLC

Practice address

499 Village Park Dr
Powell, OH 43065-6605

Phone

(614) 745-9484

NPI assigned

Sep 19, 2011

Last updated

Sep 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Gorman-Ezell, MSW, PHD, LISW-S

Title

President

Phone

(419) 344-9940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1194007880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 WINDY FOREST LN",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 VILLAGE PARK DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430656605",
            "telephone_number": "614-745-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN GORMAN-EZELL, PH.D, LISW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "GORMAN-EZELL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-344-9940",
        "authorized_official_credential": "MSW, PHD, LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0700024-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Joy Kalis
• Veena Kallambettu, PH.D., CCC-SLP
• Edith Young Kang, D.D.S., M.P.H., M.S.
• Yu Kang, MD
• Ryan Kasprzak
• Randy Sue Katz, PT
• Rupinder J Kaur, DDS
• Sandeep Kaur, FNP-C
• Lisa Jo Kedo
• Amy Lillian Keller, M.A., CCC-SLP

• Clinical Social Worker in Powell, OH
• Providers in Powell, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.