Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN DESTADLER, LICSW
ActiveKATHLEEN DESTADLER, LICSW is a Clinical Social Worker healthcare provider located in NEWBURYPORT, Massachusetts. NPI 1871594994 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · NEWBURYPORT, MA
Registration Details
- NPI Number
- 1871594994
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 10, 2005 (20.986933102374 yrs)
- Last Updated
- Jul 8, 2007
- License
-
100642 (MA)
Practice Information
- Address
-
143 STATE STNEWBURYPORT, MA, 019506621Browse MA providers · Browse ZIP 01950
- Phone
- 9784622890
- Fax
- 9784622890
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in NEWBURYPORT, MA
| Name | Credential | NPI |
|---|---|---|
| PAMELA AMER | LICSW | 1497756530 |
| ROBERT I. AMER | LICSW | 1801897954 |
| BRONSON DESTADLER | LICSW | 1073514196 |
| DIANE C. DUBIN | LICSW | 1407857535 |
| LAURIE M. MURPHEY | LICSW | 1831191774 |
| RICHARD J HEALY | LICSW | 1033111935 |
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.