Katherine Clarke, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

226087 Issued in MA

Practice address

800 Boylston St FL 16
Boston, MA 02199-1900

Phone

(888) 572-0795

NPI assigned

Mar 24, 2022

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

Electronic endpoints 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": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1356091433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HAWTHORNE ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442907",
            "telephone_number": "240-778-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BOYLSTON ST FL 16",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021991900",
            "telephone_number": "888-572-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "226087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kclarke@andstillwerise.us",
            "affiliation": "Y",
            "affiliationName": "And Still We Rise, LLC",
            "address_1": "800 Boylston St Fl 16",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021991900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen B Clark, DPT, MS, ATC, CSCS
• Timothy Walter Seth Clark, M.D.
• Asha L Clarke, MD
• Giselle Clarke
• Hillary Ann Clarke, PA-C
• Kayla Clarke, RD, LDN
• Maureen P. Clarke, M.D.
• Molly Katherine Clarke
• Paul Clarke, MS
• Peter Douglas Clarke, MD

• Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.