Katherine Kennedy, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

125642 Issued in MA

Practice address

450 N Main St Ste 2
Sharon, MA 02067-1172

Phone

(781) 784-0403

Fax

(781) 784-0407

NPI assigned

Oct 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Neponset Valley Pediatrics PC

  • Pediatrics Physician
  • Sharon, MA
  • NPI 1710076542
  NPD (past)

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1992100374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NANCY RD APT 6",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751671",
            "telephone_number": "781-801-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N MAIN ST STE 2",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671172",
            "telephone_number": "781-784-0403",
            "fax_number": "781-784-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JS Dental, P.C.
• Paddy Kalish, OD
• Heidi Lyn Kassner, LICSW
• Janet Louise Kazenel, M.S.W., L.C.S.W.
• Joan M. Kellerman, PH.D.
• Kathleen Keough
• Tamara S. Kesselman, LICSW
• Nathan T Kinney, RN
• Thelma Tina Koppel, MS, SLP
• Stephen James Korn, MD

• Clinical Social Worker in Sharon, MA
• Providers in Sharon, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.