Kathryn Stacom, LICSW
NPI 1285080663 · Clinical Social Worker · Wellesley, MA
Kathryn Stacom, LICSW is a Clinical Social Worker provider in Wellesley, MA (NPI 1285080663).
Provider details
- NPI number
- 1285080663
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 119391 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-05-04
- Last updated
- 2016-12-11
Frequently asked questions
- What is Kathryn Stacom's NPI number?
- Kathryn Stacom's National Provider Identifier (NPI) is 1285080663, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathryn Stacom's specialty?
- Kathryn Stacom is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kathryn Stacom located?
- Kathryn Stacom's practice location on file with NPPES is 11 River St, Wellesley, MA 02481-2098.
- What is Kathryn Stacom's phone number?
- The practice phone number listed in the NPPES registry for Kathryn Stacom is (781) 431-1177.
- Is Kathryn Stacom's NPI active?
- Yes — Kathryn Stacom's NPI (1285080663) is active in the NPPES registry as of the last update on 2016-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.