Active NPIIndividual provider

Kathleen Dunford Cicchese, LICSW

Social Worker, Clinical in Charlestown, Massachusetts

NPI Number1649747171
Practice location
Home Base, One Constitution Wharf, Suite 140, Charlestown, MA 02129-0212
Fax
—
Last updated
July 28, 2022

Kathleen Dunford Cicchese is a Social Worker, Clinical based in Charlestown, MA. Kathleen Dunford Cicchese practices in Charlestown, MA and has the professional credentials of LICSW. The NPI Number for Kathleen Dunford Cicchese is 1649747171 and holds a License No. 223841 (MA). The current practice location address for Kathleen Dunford Cicchese is Home Base, One Constitution Wharf, Suite 140, Charlestown, MA 02129-0212 and can be reached out via phone at 617-724-7329.

Provider Profile Details

NPI Number
1649747171
Provider Name
Kathleen Dunford Cicchese
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
Home Base, One Constitution Wharf, Suite 140, Charlestown, MA 02129-0212
Phone Number
617-724-7329
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 2, 2018
Last Update Date
July 28, 2022
Certification Date
July 28, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
Home Base
One Constitution Wharf, Suite 140
Charlestown, MA 02129-0212
Zip
02129-0212
Phone Number
617-724-7329
Charlestown, MA 02129Get directions →

Provider Business Mailing Address Details

Address
1 Constitution Plz Ste 140
Charlestown, MA 02129-2025
City
Charlestown
State
MA
Zip
02129-2025
Phone Number
578-408-4531

License Information

License Number
223841
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 Kathleen Dunford Cicchese, LICSW?

The NPI number of Kathleen Dunford Cicchese, LICSW is 1649747171. It was assigned on November 2, 2018 and is currently active in the NPPES registry.

What is the specialty of Kathleen Dunford Cicchese, LICSW?

Kathleen Dunford Cicchese, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 223841.

Where does Kathleen Dunford Cicchese, LICSW practice?

The practice location is Home Base, One Constitution Wharf, Suite 140, Charlestown, MA 02129-0212. The office can be reached at 617-724-7329 (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 1649747171 directly on the NPPES registry website.

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