Katherine Cameron Woodhouse, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110734 Issued in MA

Practice address

284 Main Street
Suite 4
Great Barrington, MA 01230

Phone

(413) 644-0044

Fax

(413) 644-0044

NPI assigned

Apr 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1295907970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 MAIN STREET",
            "address_2": "SUITE 4",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-644-0044",
            "fax_number": "413-644-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 MAIN STREET",
            "address_2": "SUITE 4",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-644-0044",
            "fax_number": "413-644-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHOUSE",
        "first_name": "KATHERINE",
        "middle_name": "CAMERON",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110734",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0424091",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Q08048",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western Mass Periodontics & Implant Specialists PC
• Blake Kent Williams, M.D., CAQSM
• Willowood of Great Barrington Inc (Fairview Commons Nursing and Rehabilitation Center)
• Catherine Ann Willows
• Judith Dietz Win
• Tricia Wyatt
• Lyn Yonack, LICSW
• Lauren C Young, FNP
• Yi-Lo Yu, M.D.
• Cherilyn Zaretsky, LMHC

• Clinical Social Worker in Great Barrington, MA
• Providers in Great Barrington, 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 Apr 2, 2008; 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.