Individual provider Active NPI

Kara Elizabeth Katz, LICSW

  • Clinical Social Worker
  • Quincy, MA
National Provider Identifier
1366089831
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW127587 Issued in MA
Practice address
1212 Hancock St Ste 205
Quincy, MA 02169-4371
Phone
(617) 249-4419
NPI assigned
Dec 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW127587 MA Primary

Addresses

Primary practice location

1212 Hancock St Ste 205
Quincy, MA 02169-4371

Mailing address

1212 Hancock St Ste 205
Quincy, MA 02169-4371
Phone (617) 249-4419

Other names 1

  • Ms. Kara Elizabeth Kelley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW127587MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
President & Fellows of Harvard College Current Accepting new patients
Kara Katz, LLC Current Accepting new patients
President and Fellows of Harvard College CurrentSince Jan 10, 2025 Accepting new patients
Square Medical Group LLC PastSince Dec 1, 2019 Accepting new patients
Square Medical Group LLC PastSince Dec 1, 2019 Accepting new patients

Locations

188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434

75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042

75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1366089831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 HANCOCK ST STE 205",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694371",
            "telephone_number": "617-249-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 HANCOCK ST STE 205",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694371",
            "telephone_number": "617-249-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "KARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW127587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "KELLEY",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.