Provider Demographics
NPI:1346633385
Name:KLIMOWICZ, KATHRYN (LCSW, LISAC)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:
Last Name:KLIMOWICZ
Suffix:
Gender:F
Credentials:LCSW, LISAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 E LOWELL ST
Mailing Address - Street 2:BLDG 95
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85721-0400
Mailing Address - Country:US
Mailing Address - Phone:520-621-3334
Mailing Address - Fax:520-626-6105
Practice Address - Street 1:1224 E LOWELL ST
Practice Address - Street 2:BLDG 95
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85721-0400
Practice Address - Country:US
Practice Address - Phone:520-621-3334
Practice Address - Fax:520-626-6105
Is Sole Proprietor?:No
Enumeration Date:2015-03-16
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15043101YA0400X
AZ153481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)