Active NPI
Yekaterina Kulakova
- Clinical Social Worker
- Waltham, MA
National Provider Identifier
1336836683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1142127
- Practice address
- 431 River St Ste 3
Waltham, MA 02453-5483 - Phone
- (781) 966-5683
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 1142127 | MA | Primary |
Addresses
Primary practice location
431 River St Ste 3
Waltham, MA 02453-5483
Mailing address
431 River St Ste 3
Waltham, MA 02453-5483
Phone (781) 966-5683
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": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1336836683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 RIVER ST STE 3",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024535483",
"telephone_number": "781-966-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 RIVER ST STE 3",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024535483",
"telephone_number": "781-966-5683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULAKOVA",
"first_name": "YEKATERINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1142127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.