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

Individual provider Clinical Social Worker · NPI 1952385395

MS. Kathleen J Dezenzo, LICSW is a Clinical Social Worker in Amherst, Massachusetts. Qualified in 1983, 43 years ago. Accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
43
Licensed in
MA
In the registry since
2005
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

31 Hall Dr Amherst Medical Ctr
Amherst, MA 01002-2751
Phone: (413) 256-8561
Fax: (413) 256-4412
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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 106680 (MA)

Record details

NPI number1952385395
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESApril 21, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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