Active NPI
Kathy Bodwell, LCSW
- Clinical Social Worker
- Tucson, AZ
National Provider Identifier
1417522244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-19405
- Practice address
- 5671 N Oracle Rd Ste 1101
Tucson, AZ 85704-3855 - Phone
- (520) 270-2996
- Fax
- (866) 538-5519
- NPI assigned
- May 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-19405 | AZ | Primary |
Addresses
Primary practice location
5671 N Oracle Rd Ste 1101
Tucson, AZ 85704-3855
Mailing address
5671 N Oracle Rd Ste 1101
Tucson, AZ 85704-3855
Phone (520) 270-2996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251229003643 | AZ | Practitioner - Clinical Social Worker | 2567958564 | Practice locations: Tucson, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5671 N Oracle Rd
Suite 1101
Tucson, AZ 85704-3855
Phone (520) 270-2996
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-19405 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathy Bodwell LCSW | Clinical | Current | Accepting new patients |
Locations
5671 N Oracle Rd
Ste 1101
Tucson, AZ 85704
Phone (520) 270-2996
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1417522244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5671 N ORACLE RD STE 1101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857043855",
"telephone_number": "520-270-2996",
"fax_number": "866-538-5591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5671 N ORACLE RD STE 1101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857043855",
"telephone_number": "520-270-2996",
"fax_number": "866-538-5519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODWELL",
"first_name": "KATHY",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-24",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-19405",
"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 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.