Kristen Susanne Gaherty, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122929 Issued in MA

Practice address

38 Newton St
Waltham, MA 02453-6025

Phone

(860) 866-8040

NPI assigned

Aug 29, 2016

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 2, 2026 through Jun 2, 2028

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.

• Creative Wellness Counseling, LLC

  • Clinical Social Worker
  • Waltham, MA
  • NPI 1174407753
  NPD Authorized official

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1750837894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 NEWTON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024536025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 NEWTON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024536025",
            "telephone_number": "860-866-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAHERTY",
        "first_name": "KRISTEN",
        "middle_name": "SUSANNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Fung-Santos, DPT
• Muhammad Furqan, RPH
• Robert D Fusunyan, MD
• Gabriela Gabor Kertznus
• Monica Gabour
• Wendy Gaines, MD
• Beth A Galan, NP-C
• Maria Elizabeth Galassi, MS, CCC-SLP
• Louis Ian Galex
• Nadin Galichina

• Clinical Social Worker in Waltham, MA
• Providers in Waltham, 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 Aug 5, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.