Individual provider Active NPI

Katherine Susan Saunders Pecora, MSW, LICSW

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1376712406
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
400 Bald Hill Rd
Warwick, RI 02886-1617
Phone
(401) 349-3131
NPI assigned
Feb 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 114250 MA
Clinical Social Worker 1041C0700X RI
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

400 Bald Hill Rd
Warwick, RI 02886-1617

Mailing address

107 Reed Ave
North Attleboro, MA 02760
Phone (860) 984-8388

Other practice location 1

959 S Waukegan Rd Fl 2
Lake Forest, IL 60045-2654
Phone (864) 336-2731

Other practice location 2

300 Baker Ave Ste 300
Concord, MA 01742-2124
Phone (864) 336-2731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121220000011 MA Practitioner - Clinical Social Worker 4981856903 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114250MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Familywell PLLC Clinical CurrentSince Feb 6, 2025 Accepting new patients
Familywell PLLC Clinical PastSince Jan 28, 2024 Accepting new patients

Locations

959 S Waukegan Rd
#2
Lake Forest, IL 60045
Phone (847) 234-3250

300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731

Organizations & group practices 2

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": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1376712406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 REED AVE",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "02760",
            "telephone_number": "860-984-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861617",
            "telephone_number": "401-349-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "959 S Waukegan Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600452654",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Baker Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017422124",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECORA",
        "first_name": "KATHERINE",
        "middle_name": "SUSAN SAUNDERS",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-22",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114250",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.