KATHRYN E O'CONNELL LCSW
NPI 1215609763
Social Worker - Clinical in Peterson Space Force Base, CO

Active since October 04, 2021
21ST MEDICAL GROUP, PETERSON SPACE FORCE BASE, CO 80914(719) 556-7804 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Aug 19, 2024, Aug 23, 2023 and 2 more (5 updates tracked since 2021).

About Kathryn E O'connell Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN E O'CONNELL LCSW (NPI 1215609763) is an individual clinical provider in Peterson Space Force Base, Colorado, licensed in Hawaii (LCSW-4816) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1215609763
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHRYN E O'CONNELLCredential: LCSW
Location Address21ST MEDICAL GROUPPeterson Space Force Base, CO 80914
Mailing Address559 Vincent Street, Space Base Delta 1Peterson Space Force Base, CO 80914
Sole ProprietorYes
Enumeration DateOctober 4, 2021
Last NPPES UpdateApril 9, 20255 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
NPI 1215609763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in HI · LCSW-4816
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X
21ST MEDICAL GROUP, Peterson Space Force Base, CO 80914

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
21ST MEDICAL GROUP, 559 VINCENT STREET
PETERSON AFB, CO 80914
Dentist (General Practice)
21ST MEDICAL GROUP, 559 VINCENT ST, SPACE BASE DELTA 1
PETERSON SPACE FORCE BASE, CO 80914
Dentist (General Practice)
21ST MEDICAL GROUP, 559 VINCENT ST
PETERSON AFB, CO 80914

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn O'connell's NPI number?

The NPI number for Kathryn O'connell is 1215609763. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Kathryn O'connell located?

Kathryn O'connell practices at 21st Medical Group, Peterson Space Force Base, CO 80914. The listed phone number is (719) 556-7804.

What is Kathryn O'connell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kathryn O'connell was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.