Individual provider Active NPI

Kayla Flaherty-Dawson, LICSW

  • School Social Worker
  • Marlborough, MA
National Provider Identifier
1740651009
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
121088 Issued in MA
Practice address
25 Union St
Marlborough, MA 01752-2331
Phone
(508) 460-3509
NPI assigned
Oct 13, 2015
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 221226 MA
School Social Worker 1041S0200X 121088 MA Primary

Addresses

Primary practice location

25 Union St
Marlborough, MA 01752-2331

Mailing address

25 Union St
Marlborough, MA 01752-2331
Phone (508) 460-3509

Other practice location 1

43 Dartmouth St
Malden, MA 02148-5103
Phone (781) 306-4820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
221226MAMDSocial Worker
121088MAMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1740651009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 UNION ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017522331",
            "telephone_number": "508-460-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 UNION ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017522331",
            "telephone_number": "508-460-3509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Dartmouth St",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021485103",
            "country_code": "US",
            "telephone_number": "781-306-4820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAHERTY-DAWSON",
        "first_name": "KAYLA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "221226",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "121088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.