Organization Active NPI

Kathy Kwiat LCSW PC

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1285800581
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149001649 Issued in IL
Legal business name
KATHY KWIAT LCSW PC
Practice address
5906 Elaine Dr
Rockford, IL 61108-2467
Phone
(815) 398-4880
Fax
(815) 398-4896
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Peter Smith
Title
Credentialing Agent
Phone
(815) 965-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149001649 IL Primary

Addresses

Primary practice location

5906 Elaine Dr
Rockford, IL 61108-2467

Mailing address

5906 Elaine Dr
Rockford, IL 61108-2467
Phone (815) 398-4880

National Provider Directory

National Provider Directory

Locations

5906 Elaine Dr
Rockford, IL 61108
Phone (815) 394-1556

5301 E State St
Ste 216B
Rockford, IL 61108
Phone (815) 398-4880

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1285800581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 ELAINE DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082467",
            "telephone_number": "815-398-4880",
            "fax_number": "815-398-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 ELAINE DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082467",
            "telephone_number": "815-398-4880",
            "fax_number": "815-398-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY KWIAT LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "815-965-8505"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149001649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.