Dr Lydia Kenin, PSYD, LICSW - Psychologist in Waban, MA

Dr Lydia Kenin, PSYD, LICSW is a Psychologist based in Waban, Massachusetts. Dr Lydia Kenin is licensed to practice in Massachusetts (license number 4186) and her current practice location is 45 Metacomet Rd, Waban, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (617) 969-7393.

NPI number for Dr Lydia Kenin is 1902042344 and her current mailing address is 45 Metacomet Rd, Waban, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902042344.

Contact Information

Dr Lydia Kenin, PSYD, LICSW
45 Metacomet Rd,
Waban, MA 02468-1418
(617) 969-7393
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Lydia Kenin
GenderFemale
SpecialityPsychologist
Location45 Metacomet Rd, Waban, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902042344
  • Provider Enumeration Date: 01/06/2009
  • Last Update Date: 01/06/2009

Medical Identifiers

Medical identifiers for Dr Lydia Kenin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902042344NPI-NPPES
W50166OtherMAMEDICARE PARTICIPATING SUPPLIER IDENTIFICATION CODE
WO5557OtherMABLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 4186 (Massachusetts)Primary
1041C0700XSocial Worker - Clinical 103930 (Massachusetts)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lydia Kenin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lydia Kenin, PSYD, LICSW
45 Metacomet Rd,
Waban, MA 02468-1418

Ph: (617) 969-7393
Dr Lydia Kenin, PSYD, LICSW
45 Metacomet Rd,
Waban, MA 02468-1418

Ph: (617) 969-7393

Reviews and Comments


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