Jennifer Marie Kadilak, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113697 Issued in MA

Practice address

27 Mica LN
Wellesley, MA 02481-1724

Phone

(781) 943-0200

NPI assigned

Aug 5, 2018

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

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": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533427200000",
    "number": "1366920936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WENTWORTH ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485330",
            "telephone_number": "617-501-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MICA LN",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811724",
            "telephone_number": "781-943-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADILAK",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-05",
        "last_updated": "2018-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jones
• Samantha Eve Jordan
• Joseph C Lee DMD PC
• Joseph Moldover, PC
• Diane Ellen Joyce-Otis, NURSE PRACTIONER
• Kahani Psychiatry, PLLC
• Doreen B. Kalter, M.D.
• Linda Diane Kames, PSY.D.
• Sritharani Kandasamy, M.D.
• Christine Victoria Kane, PT, DPT

• Clinical Social Worker in Wellesley, MA
• Providers in Wellesley, 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 Aug 5, 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.