Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KATHRYN WALLACE LCSW
NPI 1366366007
Social Worker - Clinical in Brighton, MA

Active since August 06, 2026
495 WESTERN AVE, BRIGHTON, MA 02135(617) 870-7423 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Wallace Lcsw NPPES

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

KATHRYN WALLACE LCSW (NPI 1366366007) is an individual clinical provider in Brighton, Massachusetts, licensed in Massachusetts (LCSW2143539) and active in the NPI registry since August 2026. She maintains a secondary practice location in Waltham.

NPPES Registry Identity

NPI1366366007
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHRYN WALLACECredential: LCSW
Location Address495 WESTERN AVEBrighton, MA 02135-1007
Mailing Address270 Norfolk St Apt 6Cambridge, MA 02139-1447
Sole ProprietorNo
Enumeration DateAugust 6, 2026
NPPES CertifiedAugust 6, 2026
NPI 1366366007 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 · LCSW2143539
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.
495 WESTERN AVE, Brighton, MA 02135

Secondary Practice Location 1

Location 143 Foundry Ave Ste 110Waltham, MA 02453-8313 · Phone (617) 870-7423

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.

Family Medicine
495 WESTERN AVE
BRIGHTON, MA 02135
Nurse Practitioner (Adult Health)
495 WESTERN AVE
BRIGHTON, MA 02135
Dentist (General Practice)
495 WESTERN AVE
BRIGHTON, MA 02135
Nurse Practitioner (Family)
495 WESTERN AVE
BRIGHTON, MA 02135
Clinic/Center (Federally Qualified Health Center (FQHC))
495 WESTERN AVE
BRIGHTON, MA 02135
Nurse Practitioner
495 WESTERN AVE
BRIGHTON, MA 02135
Dentist (General Practice)
495 WESTERN AVE
BRIGHTON, MA 02135
Family Medicine
495 WESTERN AVE
BRIGHTON, MA 02135

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 Wallace's NPI number?

The NPI number for Kathryn Wallace is 1366366007. It was assigned to this individual provider in the NPPES registry on August 6, 2026.

Where is Kathryn Wallace located?

Kathryn Wallace practices at 495 Western Ave, Brighton, MA 02135. The listed phone number is (617) 870-7423.

What is Kathryn Wallace'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 Wallace was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.