Katelyn N Ladue, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

121190 Issued in MA

Practice address

108 Gerrard Ave
East Longmeadow, MA 01028-1650

Phone

(413) 454-8087

NPI assigned

Dec 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Community Services Institute, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1255450631
  NPD (past)

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1740525518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 GERRARD AVE",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281650",
            "telephone_number": "413-454-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GERRARD AVE",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281650",
            "telephone_number": "413-454-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADUE",
        "first_name": "KATELYN",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kops
• Mitchell W Kotzen, D.M.D.
• Ashley Elizabeth Krupa, PA-C
• Emily A Kubacki, PHARMD
• Erin Margaret Labreck
• Angela C Lamothe, LMT
• Anne Landry
• John Anthony Laneve Jr., MSW LICSW
• William Lange
• Larry a Litscher MD

• Clinical Social Worker in East Longmeadow, MA
• Providers in East Longmeadow, 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 Sep 2, 2021; 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.