KATHLEEN MODDERNO (NPI# 1376037267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376037267 |
| Entity Type | Individual |
| Full Name | KATHLEEN MODDERNO |
| Credential | LICSW |
| Practice Address |
187 Spring St Lexington MA 02421-8030 |
| Mailing Address |
164 Newton St Apt 1 Brighton MA 02135-1545 |
| Practice Telephone | 7818617081 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
114205 | MA | Behavioral Health & Social Service Providers |
| Street Address |
187 SPRING ST |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02421-8030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558686725 | Daniel Kendig Reinstein Iv | Clinical Neuropsychologist | 187 Spring St, Lexington, MA 02421-8030 | 2010-03-31 |
| 1386277606 | Lauren Miller | Counselor | 187 Spring St, Lexington, MA 02421-8030 | 2020-02-14 |
| 1194377986 | Karin E. Linden | Counselor | 187 Spring St, Lexington, MA 02421-8030 | 2019-07-11 |
| 1699280065 | Gabrielle Nicole Malek | Counselor | 187 Spring St, Lexington, MA 02421-8030 | 2017-12-07 |
| 1871951012 | Stephen Craig Brennan | Counselor | 187 Spring St, Lexington, MA 02421-8030 | 2016-02-02 |
| 1548627110 | Dana Cohen | Counselor | 187 Spring St, Lexington, MA 02421-8030 | 2016-01-27 |
| 1396110789 | Bridget Elizabeth Glenshaw | Counselor | 187 Spring St, Lexington, MA 02421-8030 | 2015-12-10 |
| 1265806913 | Olivia Von Ferstel | Counselor | 187 Spring St, Lexington, MA 02421-8030 | 2015-11-18 |
| 1952774978 | Dawn Elizabeth Burau | Counselor | 187 Spring St, Lexington, MA 02421-8030 | 2015-11-13 |
| 1578935706 | Michelle Traverse | Social Worker | 187 Spring St, Lexington, MA 02421-8030 | 2015-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149300 | Streettherapy,llc | Counselor | Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 | 2019-11-20 |
| 1598249922 | Kelly Sexton | Social Worker | Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 | 2018-09-21 |
| 1538641956 | Jill Or Planeta | Social Worker | 40 Taft Ave, Lexington, MA 02421 | 2018-09-01 |
| 1902390388 | Erika Yaneth Valek | Counselor | 125 Hartwell Avenue, Lexington, MA 02421 | 2018-06-19 |
| 1366743668 | Elizabeth Ann Murphy | Social Worker | 17 Stedman Rd, Lexington, MA 02421 | 2010-11-03 |
| 1003045063 | Nils Becker | Pathology | 1 Cranberry Hill Ste 303, Lexington, MA 02421 | 2009-07-10 |
| 1780829556 | Lynn Joan Meltzer | Psychologist | Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 | 2008-12-09 |
| 1962666511 | Kristin Stanley Rullo | Optometrist | 21 Worthen Road, Lexington, MA 02421 | 2008-07-14 |
| 1861660201 | Jillian S Imagire | Radiology | Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 | 2008-02-20 |
| 1144498049 | Lexington Dental Associates | Dentist | 271 Lincoln Street, Suite 2, Lexington, MA 02421 | 2008-02-13 |
| Find all providers in zip 02421 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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| 1477172054 | Evolve Counseling, LLC | Social Worker | 80 Codell Dr Ste 220, Lexington, KY 40509-1178 | 2020-04-13 |
| 1689213761 | Justin Waldo | Social Worker | Lexington Va Medical Center, 1101 Veteran's Drive, Lexington, KY 40502 | 2020-01-06 |
| 1467091744 | We Support Seniors, L.L.C. | Social Worker | 56 Mentelle Park, Lexington, KY 40502-1512 | 2020-01-03 |
| 1619513405 | Wallace E. Bellis | Social Worker | 138 Leader Ave Ste 129d, Lexington, KY 40508-3215 | 2019-11-27 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.