Active NPI
Kathleen Dellapenna, LICSW
- Clinical Social Worker
- Worcester, MA
National Provider Identifier
1255845533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 124386
- Practice address
- 4 Mann St
Worcester, MA 01602-3414 - Phone
- (508) 755-0333
- NPI assigned
- Nov 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 124386 | MA | Primary |
Addresses
Primary practice location
4 Mann St
Worcester, MA 01602-3414
Mailing address
4 Mann St
Worcester, MA 01602-3414
Other practice location 1
222 Maple Ave
Shrewsbury, MA 01545-2732
Phone (508) 845-6932
Other names 1
- Kathy Dellapenna
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
411 Chandler St
Worcester, MA 01602-3339
Phone (508) 799-0688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124386 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hri Clinics Inc | Current | Accepting new patients | |
| Hri Clinics, Inc. | Current | Accepting new patients | |
| The Bridge of Central Massachusetts, Inc | Current | Accepting new patients | |
| The Bridge of Central Massachusetts, Inc. | Current | Accepting new patients |
Locations
14 Fordham Rd
Boston, MA 02134
Phone (617) 783-9676
4 Mann St
Worcester, MA 01602
Phone (508) 318-7350
411 Chandler St
Worcester, MA 01602
Phone (508) 471-5600
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Woburn, MA
- NPI 1598707002
-
- Community/Behavioral Health Agency
- Worcester, MA
- NPI 1740657527
-
- Community/Behavioral Health Agency
- Norwell, MA
- NPI 1922123199
-
- Foster Care Agency
- Worcester, MA
- NPI 1053746255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1255845533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MANN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MANN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023414",
"telephone_number": "508-755-0333"
}
],
"practiceLocations": [
{
"address_1": "222 Maple Ave",
"address_purpose": "LOCATION",
"city": "Shrewsbury",
"state": "MA",
"postal_code": "015452732",
"country_code": "US",
"telephone_number": "508-845-6932",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELLAPENNA",
"first_name": "KATHLEEN",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-26",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "124386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "DELLAPENNA",
"credential": "LICSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.