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KATHARINE SMITH-VAUGHAN LICSW
NPI 1174987051
Social Worker - Clinical in Lynn, MA

Active since April 07, 2016PECOS Enrolled
4 TIMSBURY TER, LYNN, MA 01902(978) 882-2764 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Katharine Smith-vaughan Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHARINE SMITH-VAUGHAN LICSW (NPI 1174987051) is an individual clinical provider in Lynn, Massachusetts, licensed in Massachusetts (118695) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1174987051
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHARINE SMITH-VAUGHANCredential: LICSW
Location Address4 TIMSBURY TERLynn, MA 01902-3217
Mailing Address400 Highland Ave, Suite 1Salem, MA 01970-7003 · (978) 741-9585 · Fax (978) 741-3927
Phone(978) 882-2764
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 7, 2016
✔ NPI 1174987051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 118695
Definition
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.
4 TIMSBURY TER, Lynn, MA 01902
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katharine Smith-vaughan Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274074125
PECOS Enrollment IDI20240919001690
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01902 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.86 – $177.36
Typical copayment $0.00 (range $14.71 – $44.34)
Most-billed visit code NA
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katharine Smith-vaughan's NPI number?

The NPI number for Katharine Smith-vaughan is 1174987051. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Katharine Smith-vaughan located?

Katharine Smith-vaughan practices at 4 Timsbury Ter, Lynn, MA 01902. The listed phone number is (978) 882-2764.

What is Katharine Smith-vaughan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Katharine Smith-vaughan enrolled in Medicare?

Yes. Katharine Smith-vaughan is registered in the Medicare PECOS enrollment system.

What insurance does Katharine Smith-vaughan accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Katharine Smith-vaughan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katharine Smith-vaughan was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.