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

Individual provider Clinical Social Worker · NPI 1477883171

Kathleen Hennessey, LICSW is a Clinical Social Worker in Mansfield, Massachusetts. Qualified in 2009, 17 years ago. Accepts Medicare assignment. Licensed in Florida, Massachusetts and Rhode Island.

Years since qualifying
17
Licensed in
FL, MA, RI
In the registry since
2010
Specialties on file
3
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

200 Chauncy St Ste 113
Mansfield, MA 02048-1200
Phone: (508) 784-1025
Fax: (508) 552-9976
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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 116809 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ISW02319 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW18233 (FL)

Record details

NPI number1477883171
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 4, 2010
Last updated in NPPESAugust 26, 2021
Certification dateAugust 26, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mansfield