KATHERINE S WENGER (LICSW) – Clinical Social Worker, NPI 1255401717

KATHERINE S WENGER (LICSW) is a healthcare provider. based in Needham, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1030653 (MA). The NPI Number for KATHERINE S WENGER (LICSW) is 1255401717

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE S WENGER (LICSW)
NPI
1255401717
Phone
(781) 449-1143
Address
10 CHESTNUT ST
Enumeration Date
9 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9788082516
Graduation Year
1979 (47 years ago)
PAC ID
2062485758
Professional Enrollment ID
I20040819000907
Address ID
MA024464816BR1415XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for KATHERINE S WENGER (LICSW)

  • 10, Chestnut Street, Needham Junction, Needham, Norfolk County, Massachusetts, 02492, United States

    NEEDHAM, MA 02492

    Phone: (781) 449-1143

    Fax: (781) 449-5992

    Type: Location

  • 8;9;10, Coltsway, Wayland, Middlesex County, Massachusetts, 01778, United States

    UNIT P

    WAYLAND, MA 01778

    Phone: (978) 808-2516

    Type: Mailing

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: 2004-08-19

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
I20040819000907IClinical 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 02492)

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Reviews

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Frequently asked questions

What is the standard ID for KATHERINE S WENGER (LICSW) in the U.S.?
In the U.S., KATHERINE S WENGER (LICSW) is identified by NPI 1255401717.
Is KATHERINE S WENGER (LICSW) currently accepting referrals based on NPI status?
Registry metadata lists KATHERINE S WENGER (LICSW) as active.
Which specialty label fits KATHERINE S WENGER (LICSW)?
NPPES ties KATHERINE S WENGER (LICSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KATHERINE S WENGER (LICSW)?
KATHERINE S WENGER (LICSW) shows a connection to Needham, Massachusetts in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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