Active NPIIndividual provider

Kathryn D Odonnell, LICSW

Social Worker, Clinical in Stoneham, Massachusetts

NPI Number1609357912
Practice location
92 Montvale Ave Ste 3500, Stoneham, MA 02180-3654
Fax
—
Last updated
August 24, 2018

Kathryn Doherty Odonnell is a Social Worker, Clinical based in Stoneham, MA. Kathryn Doherty Odonnell practices in Stoneham, MA and has the professional credentials of LICSW. The NPI Number for Kathryn Doherty Odonnell is 1609357912 and holds a License No. 116666 (MA). The current practice location address for Kathryn Doherty Odonnell is 92 Montvale Ave Ste 3500, Stoneham, MA 02180-3654 and can be reached out via phone at 781-760-1614.

Provider Profile Details

NPI Number
1609357912
Provider Name
Kathryn Doherty Odonnell
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
92 Montvale Ave Ste 3500, Stoneham, MA 02180-3654
Phone Number
781-760-1614
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 24, 2018
Last Update Date
August 24, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
92 Montvale Ave Ste 3500
Stoneham, MA 02180-3654
Zip
02180-3654
Phone Number
781-760-1614
Stoneham, MA 02180Get directions →

Provider Business Mailing Address Details

Address
92 Montvale Ave Ste 3500
Stoneham, MA 02180-3654
City
Stoneham
State
MA
Zip
02180-3654

License Information

License Number
116666
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.

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Frequently Asked Questions

What is the NPI number of Kathryn D Odonnell, LICSW?

The NPI number of Kathryn D Odonnell, LICSW is 1609357912. It was assigned on August 24, 2018 and is currently active in the NPPES registry.

What is the specialty of Kathryn D Odonnell, LICSW?

Kathryn D Odonnell, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 116666.

Where does Kathryn D Odonnell, LICSW practice?

The practice location is 92 Montvale Ave Ste 3500, Stoneham, MA 02180-3654. The office can be reached at 781-760-1614 (phone).

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 1609357912 directly on the NPPES registry website.

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