Active NPI
Kathryn Klimowicz, LCSW, LISAC
- Clinical Social Worker
- Tucson, AZ
National Provider Identifier
1346633385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15348
- Practice address
- 1224 E Lowell St
BLDG 95
Tucson, AZ 85721-0400 - Phone
- (520) 621-3334
- Fax
- (520) 626-6105
- NPI assigned
- Mar 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15043 | AZ | |
| Clinical Social Worker | 1041C0700X | 15348 | AZ | Primary |
Addresses
Primary practice location
1224 E Lowell St
BLDG 95
Tucson, AZ 85721-0400
Mailing address
1224 E Lowell St
BLDG 95
Tucson, AZ 85721-0400
Phone (520) 621-3334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15043 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| 15348 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1346633385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 E LOWELL ST",
"address_2": "BLDG 95",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857210400",
"telephone_number": "520-621-3334",
"fax_number": "520-626-6105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 E LOWELL ST",
"address_2": "BLDG 95",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857210400",
"telephone_number": "520-621-3334",
"fax_number": "520-626-6105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIMOWICZ",
"first_name": "KATHRYN",
"name_prefix": "Ms.",
"credential": "LCSW, LISAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-16",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "15043",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "15348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.