Healthcare Provider Details

I. General information

NPI: 1073422465
Provider Name (Legal Business Name): KATHERINE CRONIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 MOUNT AUBURN ST
CAMBRIDGE MA
02138-5597
US

IV. Provider business mailing address

63 DANA ST APT 7
CAMBRIDGE MA
02138-4318
US

V. Phone/Fax

Practice location:
  • Phone: 617-492-3500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: