Individual provider Active NPI

Katherine Nelson, LICSW

  • Clinical Social Worker
  • East Bridgewater, MA
National Provider Identifier
1821476037
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120674 Issued in MA
Practice address
36 N Bedford St Ste C22
East Bridgewater, MA 02333-1186
Phone
(617) 657-9389
NPI assigned
May 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 120674 MA Primary

Addresses

Primary practice location

36 N Bedford St Ste C22
East Bridgewater, MA 02333-1186

Mailing address

36 N Bedford St Ste C22
East Bridgewater, MA 02333-1186
Phone (617) 657-9389

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
120674MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kat Frumin, Licsw, LLC Clinical Current Accepting new patients
K & M Counseling, LLC Single Specialty Current Accepting new patients
K and M Counseling Single Specialty Current Accepting new patients

Locations

36 N Bedford St
Ste C22
East Bridgewtr, MA 02333
Phone (508) 665-1231

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1821476037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N BEDFORD ST STE C22",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331186",
            "telephone_number": "617-657-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N BEDFORD ST STE C22",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331186",
            "telephone_number": "617-657-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KATHERINE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.