Kelly Nedelya Kowalchuk, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

18 Campus Blvd
Suite 100
Newtown Square, PA 19073

Phone

(610) 585-6522

NPI assigned

May 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compass Therapy Center, LLC

  • Adult Mental Health Clinic/Center
  • Phoenixville, PA
  • NPI 1518658319
  NPD Authorized official
• Center for Grief Therapy and Education, P.a.

  dba Center for Grief and Trauma Therapy

  • Clinical Psychologist
  • Wilmington, DE
  • NPI 1962047746
  NPD (past)

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1770106130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 BARKER CIR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806188",
            "telephone_number": "610-585-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CAMPUS BLVD",
            "address_2": "SUITE 100",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "19073",
            "telephone_number": "610-585-6522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Creek View Rd Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197118547",
            "country_code": "US",
            "telephone_number": "302-635-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWALCHUK",
        "first_name": "KELLY",
        "middle_name": "NEDELYA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2023-07-26",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrin Kiavash, M.D.
• Judith C. Kim, M.D.
• Jordan Klebanoff
• Joseph William Knox, PH.D.
• Jason David Kohn, DPT
• Anne Kozicki, COTA/L
• KP Aesthetics, LLC.
• E Michael Kramer, MD
• Joshua Krosskove, CRNP
• Kimberly A Kubek, M.D.

• Clinical Social Worker in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.