MRS. KATHRYN STACOM LICSW
NPI 1285080663
Social Worker - Clinical in Wellesley, MA

Active since May 04, 2016
11 RIVER ST, WELLESLEY, MA 02481(781) 431-1177(781) 431-1181 Get Directions Write a Review

NPPES record last updated: December 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kathryn Stacom Licsw NPPES

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

MRS. KATHRYN STACOM LICSW (NPI 1285080663) is an individual clinical provider in Wellesley, Massachusetts, licensed in Massachusetts (119391) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1285080663
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KATHRYN STACOMCredential: LICSW
Location Address11 RIVER STWellesley, MA 02481-2098
Mailing Address11 River StWellesley, MA 02481-2098 · (781) 431-1177 · Fax (781) 431-1181
Fax(781) 431-1181
Sole ProprietorNo
Enumeration DateMay 4, 2016
Last NPPES UpdateDecember 11, 2016
NPI 1285080663 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 · 119391
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.
11 RIVER ST, Wellesley, MA 02481

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
11 RIVER ST, COLONY CARE BEHAVIORAL HEALTH
WELLESLEY, MA 02481
Social Worker (Clinical)
11 RIVER ST, STE 2
WELLESLEY, MA 02481
Social Worker (Clinical)
11 RIVER ST
WELLESLEY, MA 02481
Social Worker (Clinical)
11 RIVER ST
WELLESLEY, MA 02481
Social Worker (Clinical)
11 RIVER ST
WELLESLEY, MA 02481
Psychiatry & Neurology (Psychiatry)
11 RIVER ST
WELLESLEY, MA 02481
Social Worker (Clinical)
11 RIVER ST
WELLESLEY, MA 02481
Social Worker (Clinical)
11 RIVER ST
WELLESLEY, MA 02481

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 Kathryn Stacom's NPI number?

The NPI number for Kathryn Stacom is 1285080663. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Kathryn Stacom located?

Kathryn Stacom practices at 11 River St, Wellesley, MA 02481. The listed phone number is (781) 431-1177.

What is Kathryn Stacom's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathryn Stacom was last updated on December 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.