Individual provider Active NPI

Katherine Difillippo Montague, LICSW MSW

  • Clinical Social Worker
  • Plymouth, MA
National Provider Identifier
1689099442
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120123 Issued in MA
Practice address
131 Samoset St
Plymouth, MA 02360-4801
Phone
(508) 209-9488
NPI assigned
Mar 3, 2014
Last updated
Oct 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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 120123 MA Primary

Addresses

Primary practice location

131 Samoset St
Plymouth, MA 02360-4801

Mailing address

131 Samoset St # 5051
Plymouth, MA 02360-4801
Phone (508) 209-9488

Other practice location 1

225 Water St Ste A210
Plymouth, MA 02360-4062
Phone (508) 209-9488 ext. 56358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
120123MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
KDM Psychotherapy PLLC Clinical CurrentSince Nov 5, 2023 Accepting new patients

Locations

131 Samoset St
Plymouth, MA 02360
Phone (339) 244-0275

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1689099442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SAMOSET ST # 5051",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604801",
            "telephone_number": "508-209-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SAMOSET ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604801",
            "telephone_number": "508-209-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Water St Ste A210",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023604062",
            "country_code": "US",
            "telephone_number": "508-209-9488 x56358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "KATHERINE",
        "middle_name": "DIFILLIPPO",
        "credential": "LICSW MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.