Provider Demographics
NPI:1538854484
Name:WARD, KATHRYN YULEE (LCSW)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:YULEE
Last Name:WARD
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 HARRISON AVE #605
Mailing Address - Street 2:PMB 62564
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-6700
Mailing Address - Country:US
Mailing Address - Phone:888-404-4813
Mailing Address - Fax:888-675-4061
Practice Address - Street 1:68 HARRISON AVE #605
Practice Address - Street 2:PMB 62564
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-6700
Practice Address - Country:US
Practice Address - Phone:888-404-4813
Practice Address - Fax:888-675-4061
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-06
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH5219104100000X
NMSWB-2024-0344104100000X
SC17560104100000X
MSC-11374104100000X
OHI.2405637104100000X
VT089.0135938104100000X
IL149028759104100000X
UT14196556-3501104100000X
AK223331104100000X
AL6044C104100000X
DEQ1-0012537104100000X
MELC23674104100000X
MO2024018032104100000X
FLSW118121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker