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

Kim Rynearson Antonell, LICSW

Individual provider Clinical Social Worker · NPI 1801361548

Kim Rynearson Antonell, LICSW is a Clinical Social Worker in Wayland, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

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.

See every abbreviation used in this directory →

Practice location Address checks out

1 Wildflower Ln
Wayland, MA 01778-2332
Phone: (508) 561-9002
Fax: (508) 358-4773
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 105350 (MA)

Record details

NPI number1801361548
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 9, 2018
Last updated in NPPESOctober 9, 2018

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