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KRISTIN PHELAN LICSW
NPI 1447734314
Social Worker - Clinical in Marlborough, MA

Active since September 18, 2018Opted out of Medicare · through Oct 31, 2027
340 MAPLE ST, MARLBOROUGH, MA 01752(774) 410-9214 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2025, Feb 22, 2021, Sep 18, 2018 (3 updates tracked since 2018).

About Kristin Phelan Licsw NPPES

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

KRISTIN PHELAN LICSW (NPI 1447734314) is an individual clinical provider in Marlborough, Massachusetts and active in the NPI registry since September 2018. She has opted out of Medicare through October 31, 2027.

NPPES Registry Identity

NPI1447734314
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTIN PHELANCredential: LICSW
Location Address340 MAPLE STMarlborough, MA 01752-2494
Mailing AddressPo Box 441986Somerville, MA 02144-0017
Phone(774) 410-9214
Sole ProprietorNo
Enumeration DateSeptember 18, 2018
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1447734314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
340 MAPLE ST, Marlborough, MA 01752
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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

ⓘ

Opted out of Medicare

Kristin Phelan Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 31, 2025 through October 31, 2027.

Opt-Out Effective DateOctober 31, 2025
Opt-Out In Effect ThroughOctober 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

KATHLEEN EVA WHITE D.O.
Internal Medicine
340 MAPLE ST, SUITE 203
MARLBOROUGH, MA 01752
Middlesex County (508) 485-7779
MR. CHERYL ANN FALETRA-MOGAVERO MA TM, CAT
Psychologist (Clinical)
340 MAPLE ST
MARLBOROUGH, MA 01752
Middlesex County (508) 872-3333
HEATHER ANTANAVICA
Counselor (Mental Health)
340 MAPLE ST
MARLBOROUGH, MA 01752
Middlesex County (508) 485-9300
JEREMY POTTER LICSW
Counselor (Mental Health)
340 MAPLE ST, 4TH FLOOR
MARLBOROUGH, MA 01752
Middlesex County (508) 485-9300
CARRIE ANN MACLEOD MA
Counselor
340 MAPLE ST
MARLBOROUGH, MA 01752
Middlesex County (508) 485-9300
ASSABET FAMILY PODIATRY, INC
Podiatrist
340 MAPLE ST, SUITE 405
MARLBOROUGH, MA 01752
Middlesex County (508) 481-3659
BARBARA B STARR MSN, RN CS
Nurse Practitioner (Adult Health)
340 MAPLE ST
MARLBOROUGH, MA 01752
Middlesex County (508) 485-7779
MRS. BARBARA MARIE SACHS LMHC,LADC1
Counselor (Addiction (Substance Use Disorder))
340 MAPLE ST, SUITE 400
MARLBOROUGH, MA 01752
Middlesex County (508) 485-9300

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 Kristin Phelan's NPI number?

The NPI number for Kristin Phelan is 1447734314. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Kristin Phelan located?

Kristin Phelan practices at 340 Maple St, Marlborough, MA 01752. The listed phone number is (774) 410-9214.

What is Kristin Phelan's specialty?

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

Is Kristin Phelan enrolled in Medicare?

No. Kristin Phelan has opted out of Medicare through October 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kristin Phelan accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kristin Phelan 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 Kristin Phelan was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.