Sirona Psychotherapy Licensed Clinical Social Worker Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SIRONA PSYCHOTHERAPY LICENSED CLINICAL SOCIAL WORKER INC.

Practice address

19712 Macarthur Blvd
Irvine, CA 92612-2407

Phone

(949) 678-4433

NPI assigned

Jan 2, 2023

Last updated

Jan 2, 2023By 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

Katherine M Kowalczik, LCSWNPI 1013451434

Title

President

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, and the practitioner matching its NPPES authorized official.

• 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": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1235842519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 COLTRANE CT",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926175354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19712 MACARTHUR BLVD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122407",
            "telephone_number": "949-678-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRONA PSYCHOTHERAPY LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-01",
        "status": "A",
        "authorized_official_last_name": "KOWALCZIK",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-678-4433",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siddharth Singh, D.O.
• Single Poke LLC
• Jonathan Singleton
• Whitney Ann Sippl, DPT, WCS, IBCLC
• Jericho Dylan Yasi Siquig
• Andrew Siskind, M.D.
• Jenjiraphorn Sitthinam
• Man Kit Michael Siu, MD
• Keerthana Sivakumar
• Shivani Sivakumar

• Clinical Social Worker in Irvine, CA
• Providers in Irvine, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.