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Ms. Kelly Gray Ezickson, LICSW
Social Worker in Quincy, Massachusetts
NPI 1043284839

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 (Massachusetts).

The current practice location address for Kelly Gray Ezickson is 29 Cottage Ave Suite 11, Quincy, MA and can be reached out via phone at 617-472-9838 and via fax at 617-472-6269.

Location: 29 Cottage Ave Suite 11, Quincy, MA, 02169
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
Provider Enumeration Date
02/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RA P30158 05 MA
P06289 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
29 Cottage Ave Suite 11
City
Quincy
State
Massachusetts
Zip
02169
Phone Number
617-472-9838
Fax Number
617-472-6269
person
Provider Business Mailing Address Details
Address
29 Cottage Ave Suite 11
City
Quincy
State
Massachusetts
Zip
02169
Phone Number
617-472-9838
Fax Number
617-472-6269
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
1020756 (Massachusetts)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
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