Kathryn Jewell, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KATHRYN JEWELL, LCSW, PLLC

Practice address

135 Old Cove Rd Ste 208
Liverpool, NY 13090-3775

Phone

(315) 715-8539

Fax

(315) 907-6342

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

Kathryn L. Jewell, LCSWNPI 1801204565

Title

Owner

Phone

(315) 456-8693

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn L Jewell, LCSW

  • Clinical Social Worker
  • Liverpool, NY
  • NPI 1801204565
  Medicare reassignment Care Compare group NPD Authorized official
• Annmarie Mulroy, LCSW

  • Clinical Social Worker
  • Fayetteville, NY
  • NPI 1790376291
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1619679305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4991 MARSHFIELD CT",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903622",
            "telephone_number": "315-456-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 OLD COVE RD STE 208",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903775",
            "telephone_number": "315-715-8539",
            "fax_number": "315-907-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN JEWELL, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-18",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-456-8693",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua P June
• K.M. Enterprises, Inc.
• Jennifer Claire Kahi, PHARMD
• Michelle Vannelli Kasouf
• Amy Lynn Kasperek, PHYSICIAN ASSISTANT
• Jenee Marie Kawejsza, PT
• Cynthia J Kaylor, PA
• Dylan A Kazyaka
• Nelly Yacoub Kazzaz, MD
• Thomas Joseph Kearney

• Clinical Social Worker in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.