Ms. Kelly G Ezickson, LICSW
Social Worker in Quincy, Massachusetts
1043284839- Practice location
- 29 Cottage Ave Suite 11, Quincy, MA 02169
- Phone
- 617-472-9838
- Fax
- 617-472-6269
- Last updated
- July 13, 2026
Kelly Gray Ezickson is a Social Worker based in Quincy, MA. Kelly Gray Ezickson practices in Quincy, MA and has the professional credentials of LICSW. The NPI Number for Kelly Gray Ezickson is 1043284839 and holds a License No. 1020756 (MA). The current practice location address for Kelly Gray Ezickson is 29 Cottage Ave Suite 11, Quincy, MA 02169 and can be reached out via phone at 617-472-9838 and via fax at 617-472-6269.
Provider Profile Details
- NPI Number
- 1043284839
- Provider Name
- Kelly Gray Ezickson
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 29 Cottage Ave Suite 11, Quincy, MA 02169
- Phone Number
- 617-472-9838
- Fax Number
- 617-472-6269
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 16, 2006
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 29 Cottage Ave Suite 11
Quincy, MA 02169 - City
- Quincy
- State
- Massachusetts
- Zip
- 02169
- Phone Number
- 617-472-9838
- Fax Number
- 617-472-6269
Provider Business Mailing Address Details
- Address
- 29 Cottage Ave Suite 11
Quincy, MA 02169 - City
- Quincy
- State
- MA
- Zip
- 02169
- Phone Number
- 617-472-9838
- Fax Number
- 617-472-6269
License Information
- License Number
- 1020756
- License State
- MA
- Taxonomy
- Social Worker · 104100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Workers near Quincy, MA
View all Social Workers in Quincy →Frequently Asked Questions
What is the NPI number of Ms. Kelly G Ezickson, LICSW?
The NPI number of Ms. Kelly G Ezickson, LICSW is 1043284839. It was assigned on February 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Kelly G Ezickson, LICSW?
Ms. Kelly G Ezickson, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 1020756.
Where does Ms. Kelly G Ezickson, LICSW practice?
The practice location is 29 Cottage Ave Suite 11, Quincy, MA 02169. The office can be reached at 617-472-9838 (phone) or 617-472-6269 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043284839 directly on the NPPES registry website.