Healthcare Provider Details

I. General information

NPI: 1649744145
Provider Name (Legal Business Name): KATELYN A HOROWITZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2019
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 N 31ST ST
KANSAS CITY KS
66102-3962
US

IV. Provider business mailing address

4320 WORNALL RD STE 304
KANSAS CITY MO
64111-3206
US

V. Phone/Fax

Practice location:
  • Phone: 913-621-0074
  • Fax:
Mailing address:
  • Phone: 816-932-0365
  • Fax: 816-960-4498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61238487
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2015026376
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12994256-3501
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL12885
License Number StateOR
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSCSW5088
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: