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

Individual provider Social Worker · NPI 1194130955

Kathleen Macdougall, LICSW is a Social Worker in Port Charlotte, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and Massachusetts.

Licensed in
FL, MA
In the registry since
2014
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

111 Bedford Dr NE
Port Charlotte, FL 33952-8106
Phone: (978) 821-8160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 Surfside Ave Apt F, Winthrop, MA 02152-2537 — (978) 821-8160

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 116441 (MA)
Social Worker Taxonomy 104100000X · Licence LICSW123081 (MA)
Social Worker Taxonomy 104100000X · Licence 119488 (FL)

Record details

NPI number1194130955
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 30, 2014
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

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