Kathryn Doherty Odonnell, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116666 Issued in MA

Practice address

92 Montvale Ave Ste 3500
Stoneham, MA 02180-3654

Phone

(781) 760-1614

NPI assigned

Aug 24, 2018

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1609357912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE STE 3500",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE STE 3500",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803654",
            "telephone_number": "781-760-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODONNELL",
        "first_name": "KATHRYN",
        "middle_name": "DOHERTY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynne O'Brien, RD, LDN
• Nicole Ann O'Brien, NP
• Kathleen O'Neill, LMHC
• Gerald V O'Reilly, M.D.
• Kaleb Oakleaf, LICSW
• Oluwatobi Ogbechie-Godec, M.D.
• Mara A Olivar
• Olympic Physical Medicine
• Theresa Omalley, MS, CCC/SLP
• Ones Wellness & Physical Therapy PLLC

• Clinical Social Worker in Stoneham, MA
• Providers in Stoneham, 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 Aug 24, 2018; 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.