Active NPI
Catherine Kowalczyk, LCSW, LSSW
- Clinical Social Worker
- Dyer, IN
National Provider Identifier
1891518486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34009808A
- Practice address
- 10861 Glendale Ave
Dyer, IN 46311-0046 - Phone
- (708) 227-5194
- NPI assigned
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 10223374 | IN | |
| Clinical Social Worker | 1041C0700X | 34009808A | IN | Primary |
Addresses
Primary practice location
10861 Glendale Ave
Dyer, IN 46311-0046
Mailing address
10861 Glendale Ave
Dyer, IN 46311-0046
Phone (708) 227-5194
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34009808A | IN | MD | Clinical Social Worker |
| 10223374 | IN | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1891518486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10861 GLENDALE AVE",
"city": "DYER",
"state": "IN",
"postal_code": "463110046",
"telephone_number": "708-227-5194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10861 GLENDALE AVE",
"city": "DYER",
"state": "IN",
"postal_code": "463110046",
"telephone_number": "708-227-5194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALCZYK",
"first_name": "CATHERINE",
"credential": "LCSW, LSSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "IN",
"license": "10223374",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34009808A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dyer, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.