Individual provider Active NPI

Kristen Hammel Kowats, LCSW

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1912159120
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006614 Issued in CT
Practice address
100 York St
Suite 2H
New Haven, CT 06511-5620
Phone
(203) 764-7258
Fax
(203) 764-7258
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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 006614 CT Primary

Addresses

Primary practice location

100 York St
Suite 2H
New Haven, CT 06511-5620

Mailing address

100 York St
Suite 2H
New Haven, CT 06511-5620
Phone (203) 764-7258

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
006614CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1912159120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 YORK ST",
            "address_2": "SUITE 2H",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115620",
            "telephone_number": "203-764-7258",
            "fax_number": "203-764-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 YORK ST",
            "address_2": "SUITE 2H",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115620",
            "telephone_number": "203-764-7258",
            "fax_number": "203-764-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWATS",
        "first_name": "KRISTEN",
        "middle_name": "HAMMEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.