KATHERINE WORDELL – Mental Health Counselor, NPI 1023692589

KATHERINE WORDELL is a healthcare provider. based in Fairhaven, Massachusetts. specializing in CLINICAL SOCIAL WORKER. The NPI Number for KATHERINE WORDELL is 1023692589

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE WORDELL
NPI
1023692589
Phone
Not provided
Address
144 CHESTNUT ST
Enumeration Date
11 May 2021
Last Update Date
11 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089735919
Graduation Year
2022 (4 years ago)
PAC ID
4587009725
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20240228000888
Address ID
MA027403464NE101XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for KATHERINE WORDELL

  • 144 CHESTNUT ST

    FAIRHAVEN, MA 027193937

    Phone:

    Type: Mailing

  • 35 SUMMER ST STE 202

    TAUNTON, MA 027803469

    Phone: (508) 341-5590

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240228000888IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02719)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749171957View full group profile
NameSpecialtyState
Nurse PractitionerRI
Pain Management, AnesthesiologyMA
Certified Registered Nurse Anesthetist (Crna)MA
Clinical Social WorkerMA
Hospitalist, Internal MedicineMA
Physician AssistantMA
H O S P I T A L I S TMA
Certified Registered Nurse Anesthetist (Crna)RI
A N E S T H E S I O L O G YMA
-MA

Reviews

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Frequently asked questions

Where can patients find KATHERINE WORDELL's NPI?
You can confirm KATHERINE WORDELL with NPI 1023692589; it appears in the national provider directory.
Is KATHERINE WORDELL's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KATHERINE WORDELL list a primary specialty?
If you are matching referrals, note Mental Health Counselor for KATHERINE WORDELL. Clinical services aligned with this taxonomy classification.
Where does public data place KATHERINE WORDELL?
The snapshot lists Fairhaven, Massachusetts for KATHERINE WORDELL; download NPPES for the complete set.
What if Fairhaven, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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