Kathleen Mary McDonald, LICSW #110288 M.ED.,

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110288 Issued in MA

Practice address

30 Mechanic Street
Kerzner Associates P.C.
Foxboro, MA 02035

Phone

(508) 543-2133

Fax

(508) 543-2133

NPI assigned

Jun 9, 2014

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

Other names 1

• Kathleen Hentschel Former name

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kerzner Associates PCGroup PAC ID 7012957541, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kerzner Associates PC

  • Clinical Social Worker
  • Foxboro, MA
  • NPI 1003912049
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1548673437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ELM STREET",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "02052",
            "telephone_number": "508-359-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MECHANIC STREET",
            "address_2": "KERZNER ASSOCIATES P.C.",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "02035",
            "telephone_number": "508-543-2133",
            "fax_number": "508-543-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LICSW #110288 M.ED.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "HENTSCHEL",
            "credential": "M.ED, MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa G Matthews, M.D.
• Gregory Mayette
• Jennifer McBride, DPT
• Amy McClernan, RT, MR
• Jayme Lynn McDonagh, MSW
• McEnroy Nutrition
• Alicia McEnroy, MS, RD, LDN
• Kevin McEnroy
• Medispa Management Solutions Inc
• Eric Mentzer, DPT

• Clinical Social Worker in Foxboro, MA
• Providers in Foxboro, 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 Jun 9, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.