Healthcare Provider Details

I. General information

NPI: 1538854484
Provider Name (Legal Business Name): KATHRYN YULEE WARD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 BROAD ST STE 14281
BOSTON MA
02109-4301
US

IV. Provider business mailing address

56 BROAD ST STE 14281
BOSTON MA
02109-4301
US

V. Phone/Fax

Practice location:
  • Phone: 888-404-4813
  • Fax: 888-675-4061
Mailing address:
  • Phone: 888-404-4813
  • Fax: 888-675-4061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6044C
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2024018032
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number14196556-3501
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSWB-2024-0344
License Number StateNM
# 5
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number223331
License Number StateAK
# 6
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberQ1-0012537
License Number StateDE
# 7
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLC23674
License Number StateME
# 8
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number17560
License Number StateSC
# 9
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number149028759
License Number StateIL
# 10
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberC-11374
License Number StateMS
# 11
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW11812
License Number StateFL
# 12
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberI.2405637
License Number StateOH
# 13
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number5219
License Number StateNH
# 14
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number089.0135938
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: