Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlin Marie Ketcham

Individual provider Behavior Analyst · NPI 1609376607

Kaitlin Marie Ketcham is a Clinical Social Worker in Plymouth, Massachusetts. Qualified in 2023, 3 years ago. Practices with The Commonwealth of Massachusetts, a 144-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2018
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Practice location Address checks out

50 Aldrin Rd
Plymouth, MA 02360-4827
Phone: (617) 848-9091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1609376607
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2018
Last updated in NPPESFebruary 15, 2018
Mailing address1935 Blue Rock Dr Apt 301, Tampa, FL 33612-5196

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Commonwealth Of Massachusetts — 144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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