Active NPIIndividual providerSole proprietor

Kathleen M Reardon, PHD, MSW

Social Worker, Clinical in Shirley, Massachusetts

NPI Number1184785644
Practice location
2 Shaker RD, Ste D216, Shirley, MA 01464-2561
Fax
978-425-6777
Last updated
August 12, 2017

Kathleen M Reardon is a Social Worker, Clinical based in Shirley, MA. Kathleen M Reardon practices in Shirley, MA and has the professional credentials of PHD, MSW. The NPI Number for Kathleen M Reardon is 1184785644 and holds a License No. 101556 (MA). The current practice location address for Kathleen M Reardon is 2 Shaker RD, Ste D216, Shirley, MA 01464-2561 and can be reached out via phone at 978-425-6666 and via fax at 978-425-6777.

Provider Profile Details

NPI Number
1184785644
Provider Name
Kathleen M Reardon
Credential
PHD, MSW
Provider Entity Type
Individual
Gender
Female
Address
2 Shaker RD, Ste D216, Shirley, MA 01464-2561
Phone Number
978-425-6666
Fax Number
978-425-6777
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 12, 2006
Last Update Date
August 12, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Shaker RD
Ste D216
Shirley, MA 01464-2561
Zip
01464-2561
Phone Number
978-425-6666
Fax Number
978-425-6777
Shirley, MA 01464Get directions →

Provider Business Mailing Address Details

Address
2 Shaker RD
Ste 216
Shirley, MA 01464-2525
City
Shirley
State
MA
Zip
01464-2525
Phone Number
978-425-6666
Fax Number
978-425-6777

License Information

License Number
101556
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Shirley, MA

View all Social Worker, Clinical providers in Shirley →

Frequently Asked Questions

What is the NPI number of Kathleen M Reardon, PHD, MSW?

The NPI number of Kathleen M Reardon, PHD, MSW is 1184785644. It was assigned on December 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Kathleen M Reardon, PHD, MSW?

Kathleen M Reardon, PHD, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 101556.

Where does Kathleen M Reardon, PHD, MSW practice?

The practice location is 2 Shaker RD, Ste D216, Shirley, MA 01464-2561. The office can be reached at 978-425-6666 (phone) or 978-425-6777 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184785644 directly on the NPPES registry website.

Browse related providers