Katherine Jellison, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW122137 Issued in MA

Practice address

184 Pleasant Valley St Ste 1-206
Methuen, MA 01844-5855

Phone

(978) 683-0133

Fax

(978) 683-9818

NPI assigned

Jan 23, 2017

Last updated

Jan 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Counseling Associates of Ma & NH, LLC

  • Clinical Social Worker
  • Methuen, MA
  • NPI 1891710042
  NPD (past)

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1215474788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 BROADWAY",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064703",
            "telephone_number": "781-676-4223",
            "fax_number": "857-444-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 PLEASANT VALLEY ST STE 1-206",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445855",
            "telephone_number": "978-683-0133",
            "fax_number": "978-683-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELLISON",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW122137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javed Ilyas Siddiqi, M.D. LLC
• Vickibelle Javier
• Sophie Jean-Francois
• Kissinger Jean-Poix, REGISTER NURSE
• Sung Bae Jee, M.D.
• Katherine Michelle Jesson
• Alexander Jimenez
• Wallasse M Jiminan
• Newton Jiminian
• JK Dental Consultants PLLC

• Clinical Social Worker in Methuen, MA
• Providers in Methuen, 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 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.