Kathryn L Jewell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088722 Issued in NY

Practice address

4991 Marshfield CT
Liverpool, NY 13090-3622

Phone

(315) 456-8693

NPI assigned

Jul 25, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Kathryn Jewell LCSW PLLCGroup PAC ID 3870039126, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Kathryn Jewell, LCSW, PLLC

  • Clinical Social Worker
  • Liverpool, NY
  • NPI 1619679305
  Medicare reassignment Care Compare group NPD Authorized official
• Branches of Growth Mental Health Counseling, PLLC

  • Mental Health Counselor
  • East Syracuse, NY
  • NPI 1750845749
  NPD (past)
• Branches of Growth, LLC

  • Mental Health Counselor
  • N Syracuse, NY
  • NPI 1902351216
  NPD (past)

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1801204565",
    "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": "4991 MARSHFIELD CT",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903622",
            "telephone_number": "315-456-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Hyuk-Jae Jang, D.D.S.
• Christa M Jeavons, FNP
• Jennifer a. Crider, LCSW, PLLC
• Jerry G. Rothrock
• Carrie Jessen
• Joan C Laura DDS PC
• Jennifer Johansson, PA-C
• John R. Wanamaker, MD PC
• Justin T John, NP
• Elizabeth Johnson

• 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 Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.