Kathleen Destadler, LICSW
Social Worker, Clinical in Newburyport, Massachusetts
1871594994- Practice location
- 143 State St, Newburyport, MA 01950-6621
- Phone
- 978-462-2890
- Fax
- 978-462-2890
- Last updated
- July 13, 2026
Kathleen Destadler is a Social Worker, Clinical based in Newburyport, MA. Kathleen Destadler practices in Newburyport, MA and has the professional credentials of LICSW. The NPI Number for Kathleen Destadler is 1871594994 and holds a License No. 100642 (MA). The current practice location address for Kathleen Destadler is 143 State St, Newburyport, MA 01950-6621 and can be reached out via phone at 978-462-2890 and via fax at 978-462-2890.
Provider Profile Details
- NPI Number
- 1871594994
- Provider Name
- Kathleen Destadler
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 143 State St, Newburyport, MA 01950-6621
- Phone Number
- 978-462-2890
- Fax Number
- 978-462-2890
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 10, 2005
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 143 State St
Newburyport, MA 01950-6621 - City
- Newburyport
- State
- Massachusetts
- Zip
- 01950-6621
- Phone Number
- 978-462-2890
- Fax Number
- 978-462-2890
Provider Business Mailing Address Details
- Address
- 143 State St
Newburyport, MA 01950-6621 - City
- Newburyport
- State
- MA
- Zip
- 01950-6621
- Phone Number
- 978-462-2890
- Fax Number
- 978-462-2890
License Information
- License Number
- 100642
- 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 Newburyport, MA
View all Social Worker, Clinical providers in Newburyport →- Alana G Porter, LICSWSocial Worker, Clinical · NPI 1962593848
- Anna Reilly, LICSWSocial Worker, Clinical · NPI 1649193350
- Barbara A KeelerSocial Worker, Clinical · NPI 1134188410
- Barbara J Burns-Dore, MSWSocial Worker, Clinical · NPI 1215422449
- Betsy T Mendelson, MSWSocial Worker, Clinical · NPI 1801949201
- Bronson Destadler, LICSWSocial Worker, Clinical · NPI 1073514196
Frequently Asked Questions
What is the NPI number of Kathleen Destadler, LICSW?
The NPI number of Kathleen Destadler, LICSW is 1871594994. It was assigned on August 10, 2005 and is currently active in the NPPES registry.
What is the specialty of Kathleen Destadler, LICSW?
Kathleen Destadler, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 100642.
Where does Kathleen Destadler, LICSW practice?
The practice location is 143 State St, Newburyport, MA 01950-6621. The office can be reached at 978-462-2890 (phone) or 978-462-2890 (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 1871594994 directly on the NPPES registry website.