Active NPI
Alexa Diane Kaczmarski, LCSW, MED
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1922723063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW1140225
- Practice address
- 16 Rossmore Rd Apt 3
Boston, MA 02130-3850 - Phone
- (609) 760-8651
- NPI assigned
- Oct 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LICSW1140225 | MA | Primary |
Addresses
Primary practice location
16 Rossmore Rd Apt 3
Boston, MA 02130-3850
Mailing address
16 Rossmore Rd Apt 3
Boston, MA 02130-3850
Phone (609) 760-8651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Clinical | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
175 Highland Ave
Ste 308
Needham, MA 02494
Phone (781) 474-5280
89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040
Organizations & group practices 1
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": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1922723063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ROSSMORE RD APT 3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021303850",
"telephone_number": "609-760-8651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 ROSSMORE RD APT 3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021303850",
"telephone_number": "609-760-8651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACZMARSKI",
"first_name": "ALEXA",
"middle_name": "DIANE",
"credential": "LCSW, MED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW1140225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.