Active NPIIndividual providerSole proprietor

Samuel Kellogg, LCSW

Social Worker, Clinical in North Chelmsford, Massachusetts

NPI Number1477028363
Practice location
25 Wellman Ave, North Chelmsford, MA 01863-1334
Fax
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Last updated
June 8, 2026

Samuel Kellogg is a Social Worker, Clinical based in North Chelmsford, MA. Samuel Kellogg practices in North Chelmsford, MA and has the professional credentials of LCSW. The NPI Number for Samuel Kellogg is 1477028363 and holds a License No. 093682 (NY). The current practice location address for Samuel Kellogg is 25 Wellman Ave, North Chelmsford, MA 01863-1334 and can be reached out via phone at 978-251-4050.

Provider Profile Details

NPI Number
1477028363
Provider Name
Samuel Kellogg
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
25 Wellman Ave, North Chelmsford, MA 01863-1334
Phone Number
978-251-4050
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 8, 2018
Last Update Date
June 8, 2026
Certification Date
June 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Wellman Ave
North Chelmsford, MA 01863-1334
Zip
01863-1334
Phone Number
978-251-4050
North Chelmsford, MA 01863Get directions →

Provider Business Mailing Address Details

Address
200 Swanton St Apt 320
Winchester, MA 01890-4316
City
Winchester
State
MA
Zip
01890-4316

License Information

License Number
093682
License State
NY
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 Samuel Kellogg, LCSW?

The NPI number of Samuel Kellogg, LCSW is 1477028363. It was assigned on October 8, 2018 and is currently active in the NPPES registry.

What is the specialty of Samuel Kellogg, LCSW?

Samuel Kellogg, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 093682.

Where does Samuel Kellogg, LCSW practice?

The practice location is 25 Wellman Ave, North Chelmsford, MA 01863-1334. The office can be reached at 978-251-4050 (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 1477028363 directly on the NPPES registry website.

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