Individual provider Active NPI

Kathryn Martin Hall, LICSW-S

  • Clinical Social Worker
  • Huntsville, AL
National Provider Identifier
1932620143
Registry record updated Sep 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4478C-S Issued in AL
Practice address
203 Eastside SQ # a-1
Huntsville, AL 35801-8818
Phone
(256) 469-1877
NPI assigned
Jun 28, 2017
Last updated
Sep 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 4478C-S AL Primary
Clinical Social Worker 1041C0700X 15538 CT

Addresses

Primary practice location

203 Eastside SQ # a-1
Huntsville, AL 35801-8818

Mailing address

203 Eastside SQ # a-1
Huntsville, AL 35801-8818

Other practice location 1

2 Corporate Dr Ste 240
Shelton, CT 06484-6274
Phone (864) 336-2731

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

LicenseStateTypeSpecialty
4478C-SALMDClinical Social Worker
15538CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge and Bloom Therapy Services LLC Clinical CurrentSince Aug 17, 2025 Accepting new patients
Finding Balance Therapy & Wellness PLLC Clinical Past Accepting new patients
Familywell PLLC Clinical PastSince Jan 1, 2025 Accepting new patients
Kids to Love Clinical PastSince Nov 1, 2023 Accepting new patients

Locations

203 Eastside Sq
#A1
Huntsville, AL 35801
Phone (256) 469-1877

Organizations & group practices 4

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757808000000",
    "number": "1932620143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 EASTSIDE SQ # A-1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358018818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 EASTSIDE SQ # A-1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358018818",
            "telephone_number": "256-469-1877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Corporate Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064846274",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "KATHRYN",
        "middle_name": "MARTIN",
        "credential": "LICSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4478C-S",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "15538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2025; 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.