Healthcare Provider Details

I. General information

NPI: 1326942186
Provider Name (Legal Business Name): LILY KANE-MYETTE, LICSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 PALMER AVE
FALMOUTH MA
02540-2860
US

IV. Provider business mailing address

182 PALMER AVE
FALMOUTH MA
02540-2860
US

V. Phone/Fax

Practice location:
  • Phone: 508-444-2297
  • Fax:
Mailing address:
  • Phone: 508-444-2297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: LILY KANE-MYETTE
Title or Position: THERAPIST
Credential: LICSW
Phone: 508-444-2297