Kaelyn Marie Hevert, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

123031 Issued in MA

Practice address

1350 Main St
Walpole, MA 02081-1718

Phone

(508) 668-2200

Fax

(508) 668-6539

NPI assigned

Oct 25, 2010

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)

Not 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.

• Walpole Pediatric Assoc., PC

  • Pediatrics Physician
  • Walpole, MA
  • NPI 1710055967
  NPD (past)

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1740580737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811718",
            "telephone_number": "508-668-2200",
            "fax_number": "508-668-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811718",
            "telephone_number": "508-668-2200",
            "fax_number": "508-668-6539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11059 E Bethany Dr",
            "address_2": "Ste. 200",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800142622",
            "country_code": "US",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEVERT",
        "first_name": "KAELYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2021-04-12",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Healy, NP
• Erin Henry
• Kurt Thomas Herman, D.M.D.
• Lawrence Thomas Herman, D.M.D., M.D.
• Katherine Emilie Herzog, PSY.D.
• Patricia Hilts
• Heather Ho
• Hope Ann Hobgood
• Helen Hogan
• Emily R Holden, OTR/L

• Clinical Social Worker in Walpole, MA
• Providers in Walpole, 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 Apr 12, 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.