Kathryn Mary Bogusz, LICSW
Individual provider Active NPI Clinical Social Worker · Boston, MA
NPI 1245934603 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1245934603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 126329 (MA)
- Practice address
- 15 Parkman St
Boston, MA 02114-3117 - Phone
- (617) 724-5753
- NPI assigned
- Mar 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126329 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current |
Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current |
Accepting new patients |
Locations
1 Bowdoin Sq
Boston, MA 02114
Phone (617) 643-9406
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
15 Parkman St
Boston, MA 02114
Phone (617) 726-3023
62 13th St
Charlestown, MA 02129
Phone (617) 724-4260
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 126329 | MA | Yes |
Addresses
Primary practice location
15 Parkman St
Boston, MA 02114-3117
Mailing address
11 Fairview Ave
Scituate, MA 02066-3310
Other providers in Boston, MA
- Quintin Flynn Boger
- Holly Boginski
- Leah Bognanni
- Isaac Bogoch
- Olivia Emily Bogucki
- J Stephen Bohan
- Blake Elizabeth Bohlig
- Bette Bohlke O'Gara
- Carole Ruth Bohn
- Jordan D. Bohnen
All providers in Boston, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.