Individual provider Active NPI

Kaylee Lartz

  • Social Worker
  • Wellesley Hills, MA
National Provider Identifier
1306642103
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
14889 Issued in TN
Practice address
396 Washington St # 266
Wellesley Hills, MA 02481-6209
Phone
(855) 438-8331
NPI assigned
Feb 21, 2025
Reactivated
Jul 21, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW2144069 MA
Social Worker 104100000X 14889 TN Primary

Addresses

Primary practice location

396 Washington St # 266
Wellesley Hills, MA 02481-6209

Mailing address

8038 Bienville Dr Apt C306
Nashville, TN 37211-7543

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

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1306642103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8038 BIENVILLE DR APT C306",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372117543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 WASHINGTON ST # 266",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024816209",
            "telephone_number": "855-438-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARTZ",
        "first_name": "KAYLEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "deactivation_date": "2025-09-14",
        "reactivation_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "LCSW2144069",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "14889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.