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KATHERINE L WILSON LICSW
NPI 1780751396
Social Worker - Clinical in Belmont, MA

Active since November 29, 2006PECOS Enrolled
115 MILL ST, BELMONT, MA 02478(671) 855-3612 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2022, May 10, 2016 (2 updates tracked since 2016).

About Katherine L Wilson Licsw NPPES

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

KATHERINE L WILSON LICSW (NPI 1780751396) is an individual clinical provider in Belmont, Massachusetts, licensed in Massachusetts (110067) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1780751396
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHERINE L WILSONCredential: LICSW
Location Address115 MILL STBelmont, MA 02478-1041
Mailing Address372 Washington StWellesley, MA 02481-6202 · (671) 855-3612
Phone(671) 855-3612
Sole ProprietorYes
Enumeration DateNovember 29, 2006
Last NPPES UpdateSeptember 30, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
✔ NPI 1780751396 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 · 110067
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.
115 MILL ST, Belmont, MA 02478
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Secondary Practice Location 1

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Other Identifiers 1

OtherP07826MA · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine L Wilson Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Sports Medicine Foundation Inc.
5.7 mi
Orthopaedic Surgery
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 57 clinicians in this Medicare group
NPI 1740216811 (617) 355-5971

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02478 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.

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.

KATY TARELLA LICSW
Social Worker (Clinical)
115 MILL ST, MAILSTOP 137
BELMONT, MA 02478
Middlesex County (617) 855-4178
EVAN D MURRAY MD
Psychiatry & Neurology (Neurology)
115 MILL ST, MCLEAN HOSPITAL
BELMONT, MA 02478
Middlesex County (617) 855-2354
MIQVEH STEINHART
Social Worker (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3118
DANIELLE PACE PSYD
Psychologist (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-2000
DR. MARNI JOY CHANOFF MD
Psychiatry & Neurology (Psychiatry)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3937
DR. NANCY ANN HUXLEY PH.D.
Psychologist (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3645
JOAN MARTHA COTTLER LICSW
Social Worker (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3623
PROF. BRUCE MICHAEL COHEN M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3227

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 Katherine Wilson's NPI number?

The NPI number for Katherine Wilson is 1780751396. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Katherine Wilson located?

Katherine Wilson practices at 115 Mill St, Belmont, MA 02478. The listed phone number is (671) 855-3612.

What is Katherine Wilson's specialty?

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

Is Katherine Wilson enrolled in Medicare?

Yes. Katherine Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Wilson reassigns Medicare benefits to Children's Sports Medicine Foundation Inc. (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Wilson accept?

Health plans from Harvard Pilgrim Health Care list Katherine Wilson 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 Katherine Wilson was last updated on September 30, 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.