Individual provider Active NPI

Katherine Crowley, LICSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1215990262
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 0625 Issued in AZ
Practice address
4646 E Greenway Rd Ste 100
Phoenix, AZ 85032-4805
Phone
(602) 573-6621
NPI assigned
Apr 10, 2006
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 0625 AZ Primary
Clinical Social Worker 1041C0700X LICSW1142514 MA

Addresses

Primary practice location

4646 E Greenway Rd Ste 100
Phoenix, AZ 85032-4805

Mailing address

13242 N 28TH PL
Phoenix, AZ 85032-6002
Phone (602) 573-6621

Other practice location 1

8 N Main St Fl 5
Attleboro, MA 02703-2282
Phone (774) 362-7807

Other identifiers 1

IdentifierTypeStateIssuer
791899MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060524000050 AZ Practitioner - Clinical Social Worker 8820009210 Reassigns benefits to 1 organization
I20260219003126 MA Practitioner - Clinical Social Worker 8820009210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians
FKL Enterprises LLCGroup PAC ID 2961872205, 15 clinicians

Practice addresses (Care Compare)

310 Barnstable Rd
Suite 201
Hyannis, MA 02601-2902
Phone (508) 862-0514

4646 E Greenway Rd
Suite 100
Phoenix, AZ 85032-4805
Phone (480) 674-9220

8 N Main St
5TH FL
Attleboro, MA 02703-2282
Phone (508) 409-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 0625AZMDClinical Social Worker
LICSW1142514MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Mar 1, 2026 Accepting new patients
FKL Enterprises, LLC CurrentSince May 1, 2024 Accepting new patients
FKL Enterprises, LLC CurrentSince Sep 2, 2023 Accepting new patients
Kathy Crowley LCSW LLC Clinical PastSince Apr 4, 2006 Accepting new patients

Locations

3377 S Price Rd
Ste 105
Chandler, AZ 85248
Phone (480) 674-9220

2222 W Pinnacle Peak Rd
Ste 220
Phoenix, AZ 85027
Phone (480) 674-9220

4646 E Greenway Rd
Ste 100
Phoenix, AZ 85032
Phone (480) 674-9220

8700 E Via de Ventura
Ste 280
Scottsdale, AZ 85258
Phone (480) 210-7266

8 N Main St
Fl 5
Attleboro, MA 02703
Phone (508) 217-7282

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1215990262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13242 N 28TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326002",
            "telephone_number": "602-573-6621",
            "fax_number": "623-487-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 E GREENWAY RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324805",
            "telephone_number": "602-573-6621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 N Main St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027032282",
            "country_code": "US",
            "telephone_number": "774-362-7807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "KATHERINE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW 0625",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1142514",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "791899",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.