Active NPI
Kathleen A. Nardella, LICSW, LCSW-C
- Clinical Social Worker
- Newton, MA
National Provider Identifier
1275971277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14995
- Practice address
- 1056 Beacon St
Newton, MA 02459-1742 - Phone
- (301) 775-5373
- NPI assigned
- Jun 12, 2013
- Last updated
- May 4, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50079960 | DC | |
| Clinical Social Worker | 1041C0700X | 122757 | MA | |
| Clinical Social Worker | 1041C0700X | 14995 | MD | Primary |
Addresses
Primary practice location
1056 Beacon St
Newton, MA 02459-1742
Mailing address
831 Beacon St # 255
Newton, MA 02459-1822
Phone (301) 775-5373
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@kathleennardella.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC50079960 | DC | MD | Clinical Social Worker |
| 122757 | MA | MD | Clinical Social Worker |
| 14995 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathleen Nardella and Associates LLC | Clinical | Current | Accepting new patients |
Locations
1280 Centre St
Ste 220
Newton Center, MA 02459
Phone (352) 256-9347
831 Beacon St
Newton Centre, MA 02459
Phone (617) 245-8500
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.
-
- Clinical Social Worker
- Newton Center, MA
- NPI 1043885403
-
- Clinical Social Worker
- Rockville, MD
- NPI 1124449673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1275971277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 BEACON ST # 255",
"city": "NEWTON",
"state": "MA",
"postal_code": "024591822",
"telephone_number": "301-775-5373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1056 BEACON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024591742",
"telephone_number": "301-775-5373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARDELLA",
"first_name": "KATHLEEN",
"middle_name": "A.",
"credential": "LICSW, LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50079960",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "122757",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "14995",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@kathleennardella.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "831 Beacon St # 255",
"city": "Newton",
"state": "MA",
"country_code": "US",
"postal_code": "024591822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.