KATHLEEN DESTADLER LICSW
NPI 1871594994
Social Worker - Clinical in Newburyport, MA
About Kathleen Destadler Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN DESTADLER LICSW (NPI 1871594994) is an individual clinical provider in Newburyport, Massachusetts, licensed in Massachusetts (100642) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1976).
NPPES Registry Identity
Specialties & Licenses
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
Kathleen Destadler 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01950 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWBURYPORT, MA 01950
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 Kathleen Destadler's NPI number?
The NPI number for Kathleen Destadler is 1871594994. It was assigned to this individual provider in the NPPES registry on August 10, 2005.
Where is Kathleen Destadler located?
Kathleen Destadler practices at 143 State St, Newburyport, MA 01950. The listed phone number is (978) 462-2890.
What is Kathleen Destadler's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kathleen Destadler enrolled in Medicare?
Yes. Kathleen Destadler 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 Kathleen Destadler accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Kathleen Destadler 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 Kathleen Destadler was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.
# Kathleen Destadler, LICSW · NPI 1871594994
Clinical provider in Newburyport, Massachusetts. Individual provider, active in the CMS NPPES registry since August 10, 2005.
## Identity
- **NPI:** 1871594994 (Entity type: Individual)
- **Enumerated:** August 10, 2005
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 100642 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 143 STATE ST, Newburyport, MA 01950-6621
- **Phone:** (978) 462-2890 · **Fax:** (978) 462-2890
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1976
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1871594994) · Data from the CMS NPPES public registry.