Organization Active NPI

Katherine Powell, LCSW MPH, LLC

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1790172468
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05556 Issued in CT
Legal business name
KATHERINE POWELL, LCSW MPH, LLC
Practice address
72 North St Ste 304
Danbury, CT 06810-5653
Phone
(203) 942-9830
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Katherine S Powell, LCSW MPHNPI 1083880652
Title
Owner
Phone
(203) 942-9830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 05556 CT Primary

Addresses

Primary practice location

72 North St Ste 304
Danbury, CT 06810-5653

Mailing address

907 Livingston Rd
Elizaville, NY 12523-1022
Phone (203) 942-9830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161212000460 CT Part B Supplier - Clinic/Group Practice 7719267681 Receives reassigned benefits from 1 practitioner
Practice locations: Bridgeport, CT

National Provider Directory

National Provider Directory

Locations

72 North St
Ste 304
Danbury, CT 06810
Phone (203) 942-9830

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1790172468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 LIVINGSTON RD",
            "city": "ELIZAVILLE",
            "state": "NY",
            "postal_code": "125231022",
            "telephone_number": "203-942-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 NORTH ST STE 304",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105653",
            "telephone_number": "203-942-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE POWELL, LCSW MPH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-942-9830",
        "authorized_official_credential": "LCSW MPH"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "05556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.