Christy Kiernan, LICSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

113533 Issued in MA

Practice address

16 Medford St
Arlington, MA 02474-3121

Phone

(781) 777-7014

NPI assigned

Jan 4, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1821686049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 FRANKLIN ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024743213",
            "telephone_number": "617-818-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MEDFORD ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024743121",
            "telephone_number": "781-777-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "CHRISTY",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "113533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "113533",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Keovongsa, RD, LDN
• Adrienne Kerrigan, M.ED, PCC
• Mark Khalil, DMD
• Aida Mariam Khan, PH.D.
• David W Khoury, MD
• Anneke M. Kierstead, LICSW
• Jonah Kildon, PSYD
• Lauren A Killeen, PH.D.
• Hyo-Jin Kim, PH.D.
• Myung C Kim, LIC. AC.

• School Social Worker in Arlington, MA
• Providers in Arlington, MA by specialty
• School Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.