Active NPI
Katherine Koehler
- Clinical Social Worker
- Phoenix, AZ
National Provider Identifier
1790604361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW22216
- Practice address
- 2055 W Northern Ave
Phoenix, AZ 85021-5157 - Phone
- (602) 955-9059
- NPI assigned
- Jul 15, 2026
- Sex
- Female
- Sole proprietor
- No
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 | LMSW22216 | AZ | Primary |
Addresses
Primary practice location
2055 W Northern Ave
Phoenix, AZ 85021-5157
Mailing address
911 E Camelback Rd Unit 3088
Phoenix, AZ 85014-6128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chrysalis Shelter for Victims of Domestic Violence Inc | Past | Accepting new patients |
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.
-
- Point of Service
- Phoenix, AZ
- NPI 1033263694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1790604361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 E CAMELBACK RD UNIT 3088",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850146128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 W NORTHERN AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850215157",
"telephone_number": "602-955-9059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHLER",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-15",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LMSW22216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.