MS. KATHLEEN J DEZENZO (LICSW) – Clinical Social Worker, NPI 1952385395

MS. KATHLEEN J DEZENZO (LICSW) is a healthcare provider. based in Amherst, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 106680 (MA). The NPI Number for MS. KATHLEEN J DEZENZO (LICSW) is 1952385395

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
MS. KATHLEEN J DEZENZO (LICSW)
NPI
1952385395
Phone
(866) 431-4077
Address
31 HALL DR
Enumeration Date
30 November 2005
Last Update Date
21 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4138355223
Graduation Year
1983 (43 years ago)
PAC ID
1850365867
Professional Enrollment ID
I20040825000374
Address ID
MA010021944AM150XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MS. KATHLEEN J DEZENZO (LICSW)

  • Valley Medical Group, 31, Hall Drive, Amherst, Massachusetts, 01004, United States

    STE 1

    AMHERST, MA 010022778

    Phone: (866) 431-4077

    Fax: (413) 774-7448

    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: 2004-08-25

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
I20040825000374IClinical 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 01002)

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Reviews

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Frequently asked questions

What is the registry number for MS. KATHLEEN J DEZENZO (LICSW)?
The registry entry for MS. KATHLEEN J DEZENZO (LICSW) shows NPI 1952385395.
Should I treat MS. KATHLEEN J DEZENZO (LICSW) as an active provider?
Patients and plans typically see MS. KATHLEEN J DEZENZO (LICSW) as active in the national extract.
Which specialty label fits MS. KATHLEEN J DEZENZO (LICSW)?
NPPES ties MS. KATHLEEN J DEZENZO (LICSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MS. KATHLEEN J DEZENZO (LICSW)?
The directory associates MS. KATHLEEN J DEZENZO (LICSW) with Amherst, Massachusetts. Check all listed addresses for suites or satellite offices.
Who maintains MS. KATHLEEN J DEZENZO (LICSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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