Active NPIIndividual providerSole proprietor

Siobhan Kelly, LICSW

Social Worker, Clinical in Wakefield, Massachusetts

NPI Number1346030681
Practice location
12 Chestnut St Apt 5, Wakefield, MA 01880-2325
Fax
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Last updated
May 9, 2025

Siobhan Kelly is a Social Worker, Clinical based in Wakefield, MA. Siobhan Kelly practices in Wakefield, MA and has the professional credentials of LICSW. The NPI Number for Siobhan Kelly is 1346030681 and holds a License No. 227821 (MA). The current practice location address for Siobhan Kelly is 12 Chestnut St Apt 5, Wakefield, MA 01880-2325 and can be reached out via phone at 781-572-2513.

Provider Profile Details

NPI Number
1346030681
Provider Name
Siobhan Kelly
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
12 Chestnut St Apt 5, Wakefield, MA 01880-2325
Phone Number
781-572-2513
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 9, 2025
Last Update Date
May 9, 2025
Certification Date
May 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Chestnut St Apt 5
Wakefield, MA 01880-2325
Zip
01880-2325
Phone Number
781-572-2513
Wakefield, MA 01880Get directions →

Provider Business Mailing Address Details

Address
12 Chestnut St Apt 5
Wakefield, MA 01880-2325
City
Wakefield
State
MA
Zip
01880-2325
Phone Number
781-572-2513

License Information

License Number
227821
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Siobhan Kelly, LICSW?

The NPI number of Siobhan Kelly, LICSW is 1346030681. It was assigned on May 9, 2025 and is currently active in the NPPES registry.

What is the specialty of Siobhan Kelly, LICSW?

Siobhan Kelly, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 227821.

Where does Siobhan Kelly, LICSW practice?

The practice location is 12 Chestnut St Apt 5, Wakefield, MA 01880-2325. The office can be reached at 781-572-2513 (phone).

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 1346030681 directly on the NPPES registry website.

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