Individual provider Active NPI

Kaitlyn Boseck, LICSW

  • Clinical Social Worker
  • Brighton, MA
National Provider Identifier
1558009175
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW1120131 Issued in MA
Practice address
8 Eulita Ter Apt 1
Brighton, MA 02135-3395
Phone
(617) 396-4028
NPI assigned
May 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW1120131 MA Primary

Addresses

Primary practice location

8 Eulita Ter Apt 1
Brighton, MA 02135-3395

Mailing address

8 Eulita Ter Apt 1
Brighton, MA 02135-3395
Phone (617) 396-4028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 3, 2025 through Jul 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LICSW1120131MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaitlyn B. Psychotherapy, LLC Clinical CurrentSince Nov 18, 2025 Accepting new patients

Organizations & group practices 1

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": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1558009175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 EULITA TER APT 1",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353395",
            "telephone_number": "617-396-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 EULITA TER APT 1",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353395",
            "telephone_number": "617-396-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSECK",
        "first_name": "KAITLYN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1120131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.