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

Individual provider Clinical Social Worker · NPI 1366366007

Kathryn Wallace, LCSW is a Clinical Social Worker in Brighton, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2026
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

495 Western Ave
Brighton, MA 02135-1007
Phone: (617) 870-7423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 43 Foundry Ave Ste 110, Waltham, MA 02453-8313 — (617) 870-7423

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW2143539 (MA)

Record details

NPI number1366366007
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 6, 2026
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026
Mailing address270 Norfolk St Apt 6, Cambridge, MA 02139-1447

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