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

Individual provider Clinical Social Worker · NPI 1376037267

Kathleen Modderno, LICSW is a Clinical Social Worker in Lexington, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2018.

Licensed in
MA
In the registry since
2018
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

187 Spring St
Lexington, MA 02421-8030
Phone: (781) 861-7081
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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 114205 (MA)

Record details

NPI number1376037267
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 14, 2018
Last updated in NPPESJune 14, 2018

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