MS. KATHLEEN LIBERMAN LICSW NPI 1881736932

NPI Information

NPI: 1881736932
Provider Name: MS. KATHLEEN LIBERMAN, LICSW
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Individual
Address: 105 ADAMS STREET
QUINCY, MA
ZIP 02169
Phone: (617) 773-6203

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NPI Details

MS. Kathleen Liberman, LICSW is a mental health counselor in Quincy, MA. MS. Kathleen Liberman, LICSW NPI is 1881736932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

105 ADAMS STREET
QUINCY, MA
ZIP 02169-004
Phone: (617) 773-6203
Fax: (617) 472-4987

The enumeration date for this NPI number is 2/13/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	103989	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P04666	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	MEDICARE
2	P04666	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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