Kristen Brock, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 220261 Issued in MA

Practice address

30 Mystic St
Arlington, MA 02474-1155

Phone

(781) 641-8214

NPI assigned

Nov 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1384128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1316376304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SAUNDERS ST UNIT 1",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452414",
            "telephone_number": "774-254-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MYSTIC ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024741155",
            "telephone_number": "781-641-8214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Saunders St Unit 1",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018452414",
            "country_code": "US",
            "telephone_number": "774-254-0963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017026354",
            "country_code": "US",
            "telephone_number": "508-620-0010 x367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "KRISTEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-11",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LCSW 220261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy E. Wyant, LLC
• Peter Braun, M.D.
• Jennifer Breslaw, NP
• Johanna Briggs, MS, CCC-SLP
• Peter Maurice Brigham, MD
• Bari-Sue Brodsky, MD
• Kerry Brodziak, LICSW
• Lindsay Keach Bronstein, RDN
• Christine Brown, RN
• Jeffrey Brown, PSY D

• Clinical Social Worker in Arlington, MA
• Providers in Arlington, 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 Sep 18, 2018; 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.