Individual provider Active NPI

Kevin Peter Zwetchkenbaum, LICSW CADAC

  • Addiction (Substance Use Disorder) Counselor
  • Holliston, MA
National Provider Identifier
1538144746
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CADACAD5909 Issued in MA
Practice address
118 Washington St
Holliston, MA 01746-1373
Phone
(508) 429-6800
Fax
(508) 429-6844
NPI assigned
Dec 9, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CADACAD5909 MA Primary
Clinical Social Worker 1041C0700X 1017003 MA

Addresses

Primary practice location

118 Washington St
Holliston, MA 01746-1373

Mailing address

118 Washington St
Holliston, MA 01746-1373
Phone (508) 429-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CADACAD5909MAMDAddiction (Substance Use Disorder) Counselor
1017003MAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1538144746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WASHINGTON ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017461373",
            "telephone_number": "508-429-6800",
            "fax_number": "508-429-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 WASHINGTON ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017461373",
            "telephone_number": "508-429-6800",
            "fax_number": "508-429-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWETCHKENBAUM",
        "first_name": "KEVIN",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "LICSW CADAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "CADACAD5909",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1017003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holliston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.