Kathleen Susan O'Donnell, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW120103 Issued in MA

Practice address

15 Falmouth Street
Belmont, MA 02478-3616

Phone

(781) 777-3645

NPI assigned

Dec 23, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1013338896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FALMOUTH STREET",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783616",
            "telephone_number": "781-777-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FALMOUTH STREET",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783616",
            "telephone_number": "781-777-3645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Milford St",
            "address_purpose": "LOCATION",
            "city": "Upton",
            "state": "MA",
            "postal_code": "015681309",
            "country_code": "US",
            "telephone_number": "508-529-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "KATHLEEN",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW120103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Nowak, LICSW
• Nursing on Demand, LLC
• Gayle Robert Nye
• Heather O'Brien
• Meghan O'Connor, RN
• Kerry O'Donovan, NP
• Mary H. O'Hanley, MSW, LICSW
• Jodie Marie O'Malley, LICSW
• Elizabeth Grace O'Neil, RN, NP
• Andrea O'Rourke-Friel, LICSW

• Clinical Social Worker in Belmont, MA
• Providers in Belmont, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.