Individual provider Active NPI

Katherine Marie Phillips

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1205594959
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW2120482 Issued in MA
Practice address
225 Friend St Ste 800
Boston, MA 02114-1834
Phone
(844) 926-1188
Fax
(617) 259-1899
NPI assigned
Nov 30, 2021
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW2120482 MA Primary
Marriage & Family Therapist 106H00000X 166001762 IL

Addresses

Primary practice location

225 Friend St Ste 800
Boston, MA 02114-1834

Mailing address

76 McBride St
Boston, MA 02130-3227

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
LCSW2120482MAMDClinical Social Worker
166001762ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marriage and Family Counseling Service of R I Co Marriage & Family Therapist CurrentSince Jan 4, 2026 Accepting new patients
Child and Family Psychological Services, PLLC Clinical PastSince Dec 1, 2020 Accepting new patients

Locations

1800 3rd Ave
Ste 512
Rock Island, IL 61201
Phone (309) 786-4491

Organizations & group practices 2

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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1205594959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 MCBRIDE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 FRIEND ST STE 800",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141834",
            "telephone_number": "844-926-1188",
            "fax_number": "617-259-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LCSW2120482",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.