Kathryn Dobbin Binda, MSW

Individual provider Active NPI Clinical Social Worker · Dedham, MA

NPI 1992848147 · NPPES record last updated Mar 10, 2017

Key facts

NPI
1992848147
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
1020667 (MA)
Practice address
339 Washington St
Ste 203
Dedham, MA 02026-1870
Phone
(617) 610-8829
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 27, 2019 through Dec 27, 2027

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1020667 MA Yes

Addresses

Primary practice location

339 Washington St
Ste 203
Dedham, MA 02026-1870

Mailing address

42 Parklawn Rd
West Roxbury, MA 02132-1014
Phone (617) 325-2031

Other providers in Dedham, MA

All providers in Dedham, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.