Kathleen Ann Lisciotto, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

115193 Issued in MA

Practice address

5 Doral Dr
North Chelmsford, MA 01863-1814

Phone

(708) 932-0831

NPI assigned

Jun 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northeast Behavioral Associates

  • Clinical Child & Adolescent Psychologist
  • North Andover, MA
  • NPI 1659382315
  NPD (past)

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1356965438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DORAL DR",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DORAL DR",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631814",
            "telephone_number": "708-932-0831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Sutton St",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018451656",
            "country_code": "US",
            "telephone_number": "774-261-5985",
            "fax_number": "774-228-9857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISCIOTTO",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "115193",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail M Leahey
• Vanessa Jayne Leary, PSYD
• LGH Merrimack Valley Cardiology Associates, LLC
• Courtney Lhussier, PT, DPT
• Lighthouse School, Inc.
• Maddalena Teresa Lovejoy, RN
• Lowell Surgical Associates, P.C.
• Samra Lubega
• M.V. Home Care LLC
• M&B Transportations,LLC

• Clinical Social Worker in North Chelmsford, MA
• Providers in North Chelmsford, 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 Nov 20, 2025; 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.