Provider Demographics
NPI:1639053770
Name:KATHY BODWELL LCSW
Entity type:Organization
Organization Name:KATHY BODWELL LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BODWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:520-270-2996
Mailing Address - Street 1:5671 N ORACLE RD STE 1101
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-3855
Mailing Address - Country:US
Mailing Address - Phone:520-270-2996
Mailing Address - Fax:866-538-5519
Practice Address - Street 1:5671 N ORACLE RD STE 1101
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-3855
Practice Address - Country:US
Practice Address - Phone:520-270-2996
Practice Address - Fax:866-538-5519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty