Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN MODDERNO, LICSW
ActiveKATHLEEN MODDERNO, LICSW is a Clinical Social Worker healthcare provider located in LEXINGTON, Massachusetts. NPI 1376037267 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LEXINGTON, MA
Registration Details
- NPI Number
- 1376037267
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2018 (8.1344859689798 yrs)
- Last Updated
- Jun 14, 2018
- License
-
114205 (MA)
Practice Information
- Address
-
187 SPRING STLEXINGTON, MA, 024218030Browse MA providers · Browse ZIP 02421
- Phone
- 7818617081
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in LEXINGTON, MA
| Name | Credential | NPI |
|---|---|---|
| MRS. DONNA ARLENE ZANGARA | MSW | 1255325767 |
| JONATHAN W REUSSER | LICSW | 1639164627 |
| MS. DEWIE WEINER SCHRIESHEIM | MS | 1083604862 |
| MS. ROBERTA J HODSON | LICSW | 1275512436 |
| MS. TOBY S. SCHLEIN | LICSW | 1831178995 |
| MR. JOSEPH ANTHONY DEANGELIS | LICSW | 1114995289 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.