Kathleen Ercolini LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KATHLEEN ERCOLINI LLC

Doing business as

Kathleen Ercolini, LICSW

Practice address

60 Mount Vernon St
Reading, MA 01867-2540

Phone

(978) 276-4260

NPI assigned

Dec 19, 2017

Last updated

Dec 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Marie Ercolini, LICSWNPI 1568744993

Title

Owner

Phone

(978) 276-4260

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Ercolini, LICSW Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen M. Ercolini

  • Clinical Social Worker
  • Brockton, MA
  • NPI 1568744993
  NPD Authorized official

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1093221509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MOUNT VERNON ST",
            "city": "READING",
            "state": "MA",
            "postal_code": "018672540",
            "telephone_number": "978-276-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MOUNT VERNON ST",
            "city": "READING",
            "state": "MA",
            "postal_code": "018672540",
            "telephone_number": "978-276-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN ERCOLINI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "ERCOLINI",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-276-4260",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathleen Ercolini, LICSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Jutras
• Taleen Kalajian, DMD
• Kaitlyn Kariger
• Nicholas Stephan Kasdon, M.D., FAAP
• Isaac Kasper, MD
• Barry Katz, RPH
• Mandy Kaur, M.D.
• Michelle Kay, OTR/L
• Bart A Kellerman, DPM
• Joseph F Kelliher, LIC. AC.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Reading, MA
• Providers in Reading, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.