Individual provider Active NPI

Michael Roberts Kitz, LCSW, SAC

  • Clinical Social Worker
  • Marlborough, MA
National Provider Identifier
1144018904
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW225677 Issued in MA
Practice address
57 Orchard St
Marlborough, MA 01752-4326
Phone
(508) 481-3611
Fax
(508) 460-0493
NPI assigned
Apr 30, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW225677 MA Primary

Addresses

Primary practice location

57 Orchard St
Marlborough, MA 01752-4326

Mailing address

33 Oak St Apt 2
Clinton, MA 01510-3706
Phone (603) 313-2308

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW225677MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1144018904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OAK ST APT 2",
            "city": "CLINTON",
            "state": "MA",
            "postal_code": "015103706",
            "telephone_number": "603-313-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 ORCHARD ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524326",
            "telephone_number": "508-481-3611",
            "fax_number": "508-460-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITZ",
        "first_name": "MICHAEL",
        "middle_name": "ROBERTS",
        "credential": "LCSW, SAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LCSW225677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.