KATELYN MAIYUMI MACDOUGALL LICSW
NPI 1760970123
Social Worker - Clinical in Boston, MA

Active since May 01, 2018
450 BROOKLINE AVE, BOSTON, MA 02215(617) 632-5605(617) 632-5603 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katelyn Maiyumi Macdougall Licsw NPPES

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

KATELYN MAIYUMI MACDOUGALL LICSW (NPI 1760970123) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (118452) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1760970123
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATELYN MAIYUMI MACDOUGALLCredential: LICSW
Location Address450 BROOKLINE AVEBoston, MA 02215-5450
Mailing Address450 Brookline AveBoston, MA 02215-5450 · (617) 632-5605 · Fax (617) 632-5603
Fax(617) 632-5603
Sole ProprietorNo
Enumeration DateMay 1, 2018
NPI 1760970123 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 · 118452
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.

450 BROOKLINE AVE, Boston, MA 02215

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.

Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Physician Assistant
450 BROOKLINE AVE
BOSTON, MA 02215
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Counselor (Mental Health)
450 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE, DANA 2058
BOSTON, MA 02215
Nurse Practitioner
450 BROOKLINE AVE
BOSTON, MA 02215
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215

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 Katelyn Macdougall's NPI number?

The NPI number for Katelyn Macdougall is 1760970123. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Where is Katelyn Macdougall located?

Katelyn Macdougall practices at 450 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 632-5605.

What is Katelyn Macdougall'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 Katelyn Macdougall was last updated on May 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.