Individual provider Active NPI

Kathryn Ann Bell, LCSW

  • Clinical Social Worker
  • Tyler, TX
National Provider Identifier
1881208908
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59646 Issued in TX
Practice address
1404 Rice Rd Ste 300
Tyler, TX 75703-3621
Phone
(903) 258-6008
NPI assigned
Sep 4, 2020
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 59646 TX Primary

Addresses

Primary practice location

1404 Rice Rd Ste 300
Tyler, TX 75703-3621

Mailing address

3721 Bain PL
Tyler, TX 75701-8872
Phone (903) 539-0078

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20201216002107 TX Practitioner - Clinical Social Worker 5496167413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rowland Psychology, PLLCGroup PAC ID 9739465444, 3 clinicians

Practice addresses (Care Compare)

2352 Dueling Oaks Dr
Suite 100
Tyler, TX 75703-0329
Phone (903) 258-6008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59646TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rowland Psychology, PLLC Clinical CurrentSince Nov 24, 2020 Accepting new patients

Locations

1404 Rice Rd
Ste 300
Tyler, TX 75703
Phone (903) 258-6008

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1881208908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 BAIN PL",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018872",
            "telephone_number": "903-539-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 RICE RD STE 300",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033621",
            "telephone_number": "903-258-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.