Individual provider · Type 1 NPI

Kathryn Wallace, LCSW

Clinical Social Worker · Brighton, MA

NPI number 1366366007 Active

Practice location

495 Western Ave
Brighton, MA 02135-1007

Call (617) 870-7423 Map

Mailing address

270 Norfolk St Apt 6
Cambridge, MA 02139-1447

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW2143539 (MA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1366366007

Kathryn Wallace, LCSW's National Provider Identifier is 1366366007, issued on Aug 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brighton, MA. The record was last updated on Aug 6, 2026.