Katharine Ann Farrell, LICSW

Individual provider Active NPI Clinical Social Worker · Auburn, MA

NPI 1013314780 · NPPES record last updated Mar 26, 2019

Key facts

NPI
1013314780
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
110365 (MA)
Practice address
385 Southbridge St
Auburn, MA 01501-2498
Phone
(508) 721-1170
Fax
(508) 832-0859
NPI assigned
Nov 25, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Medical Group, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110365 MA Yes

Addresses

Primary practice location

385 Southbridge St
Auburn, MA 01501-2498

Mailing address

5 Neponset St FL ST2
Worcester, MA 01606-2714
Phone (508) 368-5532

Other names

  • Katharine Payson Former name

Other providers in Auburn, MA

All providers in Auburn, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.