Individual provider Active NPI

Kathleen Uwakwe, LICSW

  • Social Worker
  • Shrewsbury, MA
National Provider Identifier
1023708328
Registry record updated Aug 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
226801 Issued in MA
Practice address
415 Boston Tpke Ste 314
Shrewsbury, MA 01545-3476
Phone
(978) 999-2165
NPI assigned
May 10, 2023
Last updated
Aug 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 226801 MA Primary

Addresses

Primary practice location

415 Boston Tpke Ste 314
Shrewsbury, MA 01545-3476

Mailing address

415 Boston Tpke Ste 31401545
Shrewsbury, MA 01545-3446
Phone (978) 999-2165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926001581 MA Practitioner - Clinical Social Worker 9830630193 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
226801MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rollins Counseling Center LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

415 Boston Tpke
Ste 314
Shrewsbury, MA 01545
Phone (978) 999-2165

70 Broadway St
Westford, MA 01886
Phone (978) 337-3676

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1023708328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BOSTON TPKE STE 31401545",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453446",
            "telephone_number": "978-999-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BOSTON TPKE STE 314",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453476",
            "telephone_number": "978-999-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UWAKWE",
        "first_name": "KATHLEEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "226801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

Verify at the official NPI Registry.