1518069814 NPI number — MS. KATHLEEN KENNEDY MONTGOMERY LICSW CAC

Table of content: MS. KATHLEEN KENNEDY MONTGOMERY LICSW CAC (NPI 1518069814)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518069814 NPI number — MS. KATHLEEN KENNEDY MONTGOMERY LICSW CAC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MONTGOMERY
Provider First Name:
KATHLEEN
Provider Middle Name:
KENNEDY
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LICSW CAC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518069814
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12 EUCLID AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINCHESTER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01890
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-938-1138
Provider Business Mailing Address Fax Number:
781-938-0406

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 WEST CUMMINGS PK
Provider Second Line Business Practice Location Address:
SUITE 3300
Provider Business Practice Location Address City Name:
WOBURN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-938-1138
Provider Business Practice Location Address Fax Number:
781-938-0406
Provider Enumeration Date:
09/05/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  1893A , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 104100000X , with the licence number: 103218 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)