Healthcare Provider Details

I. General information

NPI: 1467188680
Provider Name (Legal Business Name): KIRSTEN M KUHN-KUTTEH LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIRSTEN M KUHN

II. Dates (important events)

Enumeration Date: 07/29/2022
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE
BOSTON MA
02115-5724
US

IV. Provider business mailing address

300 LONGWOOD AVE
BOSTON MA
02115-5724
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-6000
  • Fax:
Mailing address:
  • Phone: 617-355-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number225967
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW125505
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: