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

Kathryn A Wagner

Individual provider Clinical Social Worker · NPI 1952686719

Kathryn A Wagner is a Clinical Social Worker in Mashpee, Massachusetts. Qualified in 2011, 15 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
15
Licensed in
MA
In the registry since
2011

Practice location Address checks out

107 Commercial St
Mashpee, MA 02649-6507
Phone: (508) 477-7090
Fax: (508) 477-7028
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 217493 (MA)

Record details

NPI number1952686719
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 12, 2011
Last updated in NPPESOctober 12, 2011
Mailing address107 Commercial St, Mashpee, MA 02649-6507

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mashpee