Individual provider Active NPI

Kathryn Dobbin Binda, MSW

  • Clinical Social Worker
  • Dedham, MA
National Provider Identifier
1992848147
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1020667 Issued in MA
Practice address
339 Washington St
Ste 203
Dedham, MA 02026-1870
Phone
(617) 610-8829
NPI assigned
Feb 15, 2007
Last updated
Mar 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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 1020667 MA Primary

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

Medicare participation

Medicare enrollment files
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

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1020667MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1992848147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PARKLAWN RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321014",
            "telephone_number": "617-325-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 WASHINGTON ST",
            "address_2": "STE 203",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261870",
            "telephone_number": "617-610-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINDA",
        "first_name": "KATHRYN",
        "middle_name": "DOBBIN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1020667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

Verify at the official NPI Registry.