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

Individual provider Clinical Social Worker · NPI 1821647470

Kathleen Amanda Waleryszak, LICSW is a Clinical Social Worker in Portsmouth, New Hampshire. Qualified in 2016, 10 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New Hampshire.

Years since qualifying
10
Licensed in
NH
In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

426 State St
Portsmouth, NH 03801-4049
Phone: (707) 654-4325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2261 (NH)

Record details

NPI number1821647470
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 6, 2019
Last updated in NPPESSeptember 6, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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