Individual provider Active NPI

Kevin R Wehmhoefer, LICSW, ACSW

  • Clinical Social Worker
  • Watertown, MA
National Provider Identifier
1942580154
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1017912 Issued in MA
Practice address
31 Carver Rd
Watertown, MA 02472-1312
Phone
(508) 561-5426
NPI assigned
Aug 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1017912 MA Primary

Addresses

Primary practice location

31 Carver Rd
Watertown, MA 02472-1312

Mailing address

31 Carver Rd
Watertown, MA 02472-1312
Phone (508) 561-5426

Other practice location 1

2000 Massachusetts Ave
Cambridge, MA 02140-2115
Phone (978) 393-1317

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1942580154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CARVER RD",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721312",
            "telephone_number": "508-561-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CARVER RD",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721312",
            "telephone_number": "508-561-5426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021402115",
            "country_code": "US",
            "telephone_number": "978-393-1317",
            "fax_number": "781-472-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEHMHOEFER",
        "first_name": "KEVIN",
        "middle_name": "R",
        "credential": "LICSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-18",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1017912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.