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

Mrs. Kathleen E McKinnon, LICSW

Individual provider Clinical Social Worker · NPI 1396830469

Mrs. Kathleen E McKinnon, LICSW is a Clinical Social Worker in Gloucester, Massachusetts. Qualified in 2004, 22 years ago. Practices with Beth Israel Lahey Health Specialty Care, Inc, a 263-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
22
Licensed in
MA
In the registry since
2006
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

298 Washington St
Gloucester, MA 01930-4832
Phone: (978) 283-2726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 331 Highland Ave, Salem, MA 01970-7006 — (978) 542-0283

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 113678 (MA)

Record details

NPI number1396830469
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Beth Israel Lahey Health Specialty Care, Inc. — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Gloucester