Kathleen E. McKinnon, LICSW
NPI 1396830469ActiveIndividual· Social Worker, Clinical· Gloucester, MA
Social Worker, Clinical (LICSW) with Beth Israel Lahey Health Specialty Care, Inc., practicing in Gloucester, Massachusetts. Medicare paid $18,372 for services to 31 patients in 2024. Lists Northeast Hospital Corporation as a hospital affiliation.
Overview
| NPI | 1396830469 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Oct 4, 2006 |
| Last updated in NPPES | Feb 1, 2024 |
| Certified by provider | Feb 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 113678 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 271 across 4 procedure codes |
| Paid by Medicare | $18,372 |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Beth Israel Lahey Health Specialty Care, Inc.Burlington, MA · 267 clinicians
Hospital affiliation
- Northeast Hospital CorporationBeverly, MA
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All 52 clinical social workers in Gloucester · All clinical social workers in Massachusetts