MEDICARE: KATHRYN LEIGH BOCCHINO LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	34295	MD

General Provider Information

NPI Number	:	1528927803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN LEIGH BOCCHINO LMSW

Provider Business Mailing Address
First Line	:	3500 BOSTON ST STE 434
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21224-5251
Country	:	US
Telephone Number	:	973-255-0574
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 BOSTON ST STE 434
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21224-5251
Country	:	US
Telephone Number	:	443-429-1985
Fax Number	:	410-994-4598

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	02/20/2026

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