1. Home
  2. Directory
  3. Massachusetts
  4. Wayland
  5. Social Worker
  6. NPI Profile

KIM RYNEARSON ANTONELL LICSW
NPI 1801361548
Social Worker - Clinical in Wayland, MA

Active since October 09, 2018
1 WILDFLOWER LN, WAYLAND, MA 01778(508) 561-9002(508) 358-4773 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Rynearson Antonell Licsw NPPES

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

KIM RYNEARSON ANTONELL LICSW (NPI 1801361548) is an individual clinical provider in Wayland, Massachusetts, licensed in Massachusetts (105350) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1801361548
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIM RYNEARSON ANTONELLCredential: LICSW
Location Address1 WILDFLOWER LNWayland, MA 01778-2332
Mailing Address1 Wildflower LnWayland, MA 01778-2332 · (508) 561-9002 · Fax (508) 358-4773
Phone(508) 561-9002
Fax(508) 358-4773
Sole ProprietorYes
Enumeration DateOctober 9, 2018
✔ NPI 1801361548 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 · 105350
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.
1 WILDFLOWER LN, Wayland, MA 01778
Open in Google Maps ↗

Other Identifiers 1

Other105350MA · Mass License

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 Kim Antonell's NPI number?

The NPI number for Kim Antonell is 1801361548. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Where is Kim Antonell located?

Kim Antonell practices at 1 Wildflower Ln, Wayland, MA 01778. The listed phone number is (508) 561-9002.

What is Kim Antonell'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 Kim Antonell was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.