KATHLEEN D. WOODWARD (LICSW) – Clinical Social Worker, NPI 1942394416

KATHLEEN D. WOODWARD (LICSW) is a healthcare provider. based in Waban, Massachusetts. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. 102061 (MA). The NPI Number for KATHLEEN D. WOODWARD (LICSW) is 1942394416

Main info

Female
Sole Proprietor
54 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN D. WOODWARD (LICSW)
NPI
1942394416
Phone
(617) 969-8131
Address
58 PAULSON ROAD
Enumeration Date
2 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
61796981311
Graduation Year
1972 (54 years ago)
PAC ID
6709819162
Professional Enrollment ID
I20050915000675
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

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Provider Addresses for KATHLEEN D. WOODWARD (LICSW)

  • 58, Paulson Road, Newton Highlands, West Newton, Newton, Middlesex County, Massachusetts, 02468, United States

    WABAN, MA 024681028

    Phone: (617) 969-8131

    Fax: (617) 969-8131

    Mailing address matches the actual address.

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: 2005-09-15

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
I20050915000675IClinical 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 02468)

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Reviews

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Frequently asked questions

Can I use this page to confirm KATHLEEN D. WOODWARD (LICSW)'s NPI?
Yes. KATHLEEN D. WOODWARD (LICSW) is listed with NPI 1942394416 in the public NPI dataset.
Can I rely on KATHLEEN D. WOODWARD (LICSW) being an active provider?
As of the registry snapshot, KATHLEEN D. WOODWARD (LICSW) is marked active.
What is KATHLEEN D. WOODWARD (LICSW)'s specialty?
The listing groups KATHLEEN D. WOODWARD (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is KATHLEEN D. WOODWARD (LICSW) based?
KATHLEEN D. WOODWARD (LICSW) is tied to Waban, Massachusetts in the data we show; additional addresses may exist on the full record.
Why does KATHLEEN D. WOODWARD (LICSW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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