Kathleen M Ohman, LICSW

Individual provider Active NPI Social Worker · Dennis, MA

NPI 1750864765 · NPPES record last updated Sep 14, 2018

Key facts

NPI
1750864765
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
106015-SW-LICSW (MA)
Practice address
12 Thomas CT
Dennis, MA 02638-2200
Phone
(508) 280-5426
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
106015-SW-LICSWMAMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 106015-SW-LICSW MA Yes

Addresses

Primary practice location

12 Thomas CT
Dennis, MA 02638-2200

Mailing address

12 Thomas CT
Dennis, MA 02638-2200
Phone (508) 280-5426

Other providers in Dennis, MA

All providers in Dennis, MA · Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.