MS. KATHLEEN KENNEDY MONTGOMERY (LICSW CAC) – Addiction (Substance Use Disorder) Counselor, NPI 1518069814
Addiction (Substance Use Disorder) Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,194 CLINICAL SOCIAL WORKER in MA
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Provider Addresses for MS. KATHLEEN KENNEDY MONTGOMERY (LICSW CAC)
12, Euclid Avenue, Winchester, Middlesex County, Massachusetts, 01890, United States
WINCHESTER, MA 01890
Phone: (781) 938-1138
Fax: (781) 938-0406
Type: Mailing
West Cummings Park, Walnut Hill, Woburn, Middlesex County, Massachusetts, United States
SUITE 3300
WOBURN, MA 01801
Phone: (781) 938-1138
Fax: (781) 938-0406
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: 2005-09-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050926000944 | I | Clinical Social Worker | MA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 217 | 16 | $0 |
Insurance plans in this area (ZIP 01890)
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