Active NPIIndividual providerSole proprietor

Kenna L Liatsos, LICSW, PHD

Social Worker, Clinical in Rockland, Massachusetts

NPI Number1659866465
Practice location
198 Spring St, Rockland, MA 02370-2667
Fax
—
Last updated
June 25, 2018

Kenna Lee Liatsos is a Social Worker, Clinical based in Rockland, MA. Kenna Lee Liatsos practices in Rockland, MA and has the professional credentials of LICSW, PHD. The NPI Number for Kenna Lee Liatsos is 1659866465 and holds a License No. 106789 (MA). The current practice location address for Kenna Lee Liatsos is 198 Spring St, Rockland, MA 02370-2667 and can be reached out via phone at 781-878-6056.

Provider Profile Details

NPI Number
1659866465
Provider Name
Kenna Lee Liatsos
Credential
LICSW, PHD
Provider Entity Type
Individual
Gender
Female
Address
198 Spring St, Rockland, MA 02370-2667
Phone Number
781-878-6056
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 25, 2018
Last Update Date
June 25, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
198 Spring St
Rockland, MA 02370-2667
Zip
02370-2667
Phone Number
781-878-6056
Rockland, MA 02370Get directions →

Provider Business Mailing Address Details

Address
198 Spring St
Rockland, MA 02370-2667
City
Rockland
State
MA
Zip
02370-2667
Phone Number
781-878-6056

License Information

License Number
106789
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 Kenna L Liatsos, LICSW, PHD?

The NPI number of Kenna L Liatsos, LICSW, PHD is 1659866465. It was assigned on June 25, 2018 and is currently active in the NPPES registry.

What is the specialty of Kenna L Liatsos, LICSW, PHD?

Kenna L Liatsos, LICSW, PHD is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 106789.

Where does Kenna L Liatsos, LICSW, PHD practice?

The practice location is 198 Spring St, Rockland, MA 02370-2667. The office can be reached at 781-878-6056 (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 1659866465 directly on the NPPES registry website.

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