Individual provider Active NPI

Kathy Bodwell, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1417522244
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-19405 Issued in AZ
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

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
LCSW-19405AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kathy Bodwell LCSW Clinical CurrentSince Aug 3, 2025 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

Verify at the official NPI Registry.