Kim R Antonell, LICSW
Social Worker, Clinical in Wayland, Massachusetts
1801361548- Practice location
- 1 Wildflower Ln, Wayland, MA 01778-2332
- Phone
- 508-561-9002
- Fax
- 508-358-4773
- Last updated
- October 9, 2018
Kim Rynearson Antonell is a Social Worker, Clinical based in Wayland, MA. Kim Rynearson Antonell practices in Wayland, MA and has the professional credentials of LICSW. The NPI Number for Kim Rynearson Antonell is 1801361548 and holds a License No. 105350 (MA). The current practice location address for Kim Rynearson Antonell is 1 Wildflower Ln, Wayland, MA 01778-2332 and can be reached out via phone at 508-561-9002 and via fax at 508-358-4773.
Provider Profile Details
- NPI Number
- 1801361548
- Provider Name
- Kim Rynearson Antonell
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Wildflower Ln, Wayland, MA 01778-2332
- Phone Number
- 508-561-9002
- Fax Number
- 508-358-4773
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 9, 2018
- Last Update Date
- October 9, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Wildflower Ln
Wayland, MA 01778-2332 - City
- Wayland
- State
- Massachusetts
- Zip
- 01778-2332
- Phone Number
- 508-561-9002
- Fax Number
- 508-358-4773
Provider Business Mailing Address Details
- Address
- 1 Wildflower Ln
Wayland, MA 01778-2332 - City
- Wayland
- State
- MA
- Zip
- 01778-2332
- Phone Number
- 508-561-9002
- Fax Number
- 508-358-4773
License Information
- License Number
- 105350
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Wayland, MA
View all Social Worker, Clinical providers in Wayland →- Andrew Ward, LICSWSocial Worker, Clinical · NPI 1841328630
- Anne Moseley-Wiss, LICSWSocial Worker, Clinical · NPI 1932138054
- Be Well Counseling Services LLCSocial Worker, Clinical · NPI 1639045446
- Beth HirzelSocial Worker, Clinical · NPI 1841774049
- Eileen P Comettant, LICSWSocial Worker, Clinical · NPI 1104394238
- Elizabeth Fineberg, LICSWSocial Worker, Clinical · NPI 1073751202
Frequently Asked Questions
What is the NPI number of Kim R Antonell, LICSW?
The NPI number of Kim R Antonell, LICSW is 1801361548. It was assigned on October 9, 2018 and is currently active in the NPPES registry.
What is the specialty of Kim R Antonell, LICSW?
Kim R Antonell, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 105350.
Where does Kim R Antonell, LICSW practice?
The practice location is 1 Wildflower Ln, Wayland, MA 01778-2332. The office can be reached at 508-561-9002 (phone) or 508-358-4773 (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 1801361548 directly on the NPPES registry website.