Katelyn M Depatsy, LCSW
Individual provider Active NPI Clinical Social Worker · Leominster, MA
NPI 1669013173 · NPPES record last updated Feb 25, 2025
Key facts
- NPI
- 1669013173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW225034 (MA)
- Practice address
- 1069 Central St
Leominster, MA 01453-4805 - Phone
- (978) 728-4957
- Fax
- (978) 798-1366
- NPI assigned
- Oct 6, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW225034 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW225034 | MA | Yes |
Addresses
Primary practice location
1069 Central St
Leominster, MA 01453-4805
Mailing address
1069 Central St
Leominster, MA 01453-4805
Phone (978) 728-4957
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All providers in Leominster, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.