Alice Willa Kantor, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114486 Issued in MA

Practice address

191 Merrimack St FL 5
Haverhill, MA 01830-6112

Phone

(617) 833-7143

NPI assigned

Jul 24, 2017

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 23, 2026 through Jan 23, 2028

Medicare enrollment (NPD)

Not 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.

• Sierra Psychotherapy

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1114617461
  NPD Authorized official

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1366965212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 MERRIMACK ST FL 5",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306112",
            "telephone_number": "617-833-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 MERRIMACK ST FL 5",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306112",
            "telephone_number": "617-833-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "ALICE",
        "middle_name": "WILLA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia M. Kane-Calvert, COUNSELOR
• Diana Kane-Calvert, M.S.
• Brendon James Kane
• Susan E Kane, LIC. AC.
• Richard Kania, MLADC
• Alice Karanu, NP
• Martin Kariuki
• Karuna Shravan Sanstha, Inc
• Anatoliy Y Kats
• Nicole Christine Kazanjian

• Clinical Social Worker in Haverhill, MA
• Providers in Haverhill, 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 Jul 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.