KATHRYN HIGGINS LICSW
NPI 1396390910
Social Worker - Clinical in Cambridge, MA

Active since August 09, 2019PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139(617) 665-1185 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2022, Aug 9, 2019 (2 updates tracked since 2019).

About Kathryn Higgins Licsw NPPES

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

KATHRYN HIGGINS LICSW (NPI 1396390910) is an individual clinical provider in Cambridge, Massachusetts, licensed in Massachusetts (124517) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396390910
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHRYN HIGGINSCredential: LICSW
Location Address1493 CAMBRIDGE STCambridge, MA 02139-1047
Mailing Address1493 Cambridge StCambridge, MA 02139-1047 · (617) 665-1185
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 9, 2019
Last NPPES UpdateJanuary 21, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2022
NPI 1396390910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 124517
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.
Also ListedCounselorTaxonomy 101Y00000X
1493 CAMBRIDGE ST, Cambridge, MA 02139

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathryn Higgins Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971995739
PECOS Enrollment IDI20220128000511
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02139 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 $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

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.

Emergency Medicine
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse (Ambulatory Care)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse (Neonatal, Low-Risk)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Occupational Therapist
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139

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 Higgins's NPI number?

The NPI number for Kathryn Higgins is 1396390910. It was assigned to this individual provider in the NPPES registry on August 9, 2019.

Where is Kathryn Higgins located?

Kathryn Higgins practices at 1493 Cambridge St, Cambridge, MA 02139. The listed phone number is (617) 665-1185.

What is Kathryn Higgins's specialty?

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

Is Kathryn Higgins enrolled in Medicare?

Yes. Kathryn Higgins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathryn Higgins accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kathryn Higgins 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.

Is Kathryn Higgins affiliated with any hospitals?

According to CMS data, Kathryn Higgins is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Kathryn Higgins was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.