KATHLEEN MODDERNO LICSW
NPI 1376037267
Social Worker - Clinical in Lexington, MA

Active since June 14, 2018
187 SPRING ST, LEXINGTON, MA 02421(781) 861-7081 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Modderno Licsw NPPES

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

KATHLEEN MODDERNO LICSW (NPI 1376037267) is an individual clinical provider in Lexington, Massachusetts, licensed in Massachusetts (114205) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1376037267
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN MODDERNOCredential: LICSW
Location Address187 SPRING STLexington, MA 02421-8030
Mailing Address164 Newton St Apt 1Brighton, MA 02135-1545
Sole ProprietorNo
Enumeration DateJune 14, 2018
NPI 1376037267 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 · 114205
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.
187 SPRING ST, Lexington, MA 02421

Other Providers at the Same Location NPPES 15

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

Counselor (Mental Health)
187 SPRING ST
LEXINGTON, MA 02421
Speech-Language Pathologist
187 SPRING ST
LEXINGTON, MA 02421
Counselor (Mental Health)
187 SPRING ST
LEXINGTON, MA 02421
Counselor (Mental Health)
187 SPRING ST
LEXINGTON, MA 02421
Counselor (Mental Health)
187 SPRING ST
LEXINGTON, MA 02421
Counselor (Mental Health)
187 SPRING ST
LEXINGTON, MA 02421
Counselor (Mental Health)
187 SPRING ST
LEXINGTON, MA 02421
Clinical Neuropsychologist
187 SPRING ST
LEXINGTON, MA 02421

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 Kathleen Modderno's NPI number?

The NPI number for Kathleen Modderno is 1376037267. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Where is Kathleen Modderno located?

Kathleen Modderno practices at 187 Spring St, Lexington, MA 02421. The listed phone number is (781) 861-7081.

What is Kathleen Modderno'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 Kathleen Modderno was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.