Kathleen Ann Guevara, LICSW,LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110106 Issued in MA

Practice address

5 McIntyre Rd
Saugus, MA 01906-2053

Phone

(781) 231-0717

NPI assigned

Sep 20, 2006

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

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridgewell, IncGroup PAC ID 6507833985, 39 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.

• Bridgewell, Inc

  • Community/Behavioral Health Agency
  • Lowell, MA
  • NPI 1033262860
  Medicare reassignment Care Compare group NPD
• Cambridge Psychiatric Services, Inc

  • Addiction Psychiatry Physician
  • Cambridge, MA
  • NPI 1851055784
  NPD (past)
• North Charles Mental Health Research & Training Foundation, Inc

  • Psychologist
  • Cambridge, MA
  • NPI 1356411862

  Clinical

  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699873273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MCINTYRE RD",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062053",
            "telephone_number": "781-231-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MCINTYRE RD",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062053",
            "telephone_number": "781-231-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LICSW,LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Boston Eye Care, LLC
• Ralph E Green Jr., DDS
• Shannon Denice Griffith, LCSW
• Marianne Grise, PT
• John Frederic Guarente, DMD
• Ilyoss Gulyamov, D.M.D.
• Cynthia Gustafson, RPT
• Michelle Diane Hallam-Naing, BSN, RN
• Han Soo Lho DMD
• Tess Ryan Hannify

• Clinical Social Worker in Saugus, MA
• Providers in Saugus, 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 Jul 8, 2007; 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.