Active NPIIndividual providerSole proprietor

Mary E Kelly, LICSW

Social Worker, Clinical in Weymouth, Massachusetts

NPI Number1558844811
Practice location
97 Libbey Industrial Pkwy Ste 301, Weymouth, MA 02189-3110
Fax
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Last updated
September 12, 2018

Mary Elizabeth Kelly is a Social Worker, Clinical based in Weymouth, MA. Mary Elizabeth Kelly practices in Weymouth, MA and has the professional credentials of LICSW. The NPI Number for Mary Elizabeth Kelly is 1558844811 and holds a License No. 1031209 (MA). The current practice location address for Mary Elizabeth Kelly is 97 Libbey Industrial Pkwy Ste 301, Weymouth, MA 02189-3110 and can be reached out via phone at 617-913-6220.

Provider Profile Details

NPI Number
1558844811
Provider Name
Mary Elizabeth Kelly
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
97 Libbey Industrial Pkwy Ste 301, Weymouth, MA 02189-3110
Phone Number
617-913-6220
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 12, 2018
Last Update Date
September 12, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
97 Libbey Industrial Pkwy Ste 301
Weymouth, MA 02189-3110
Zip
02189-3110
Phone Number
617-913-6220
Weymouth, MA 02189Get directions →

Provider Business Mailing Address Details

Address
52 Cedar Ter
Milton, MA 02186-4302
City
Milton
State
MA
Zip
02186-4302

License Information

License Number
1031209
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 Mary E Kelly, LICSW?

The NPI number of Mary E Kelly, LICSW is 1558844811. It was assigned on September 12, 2018 and is currently active in the NPPES registry.

What is the specialty of Mary E Kelly, LICSW?

Mary E Kelly, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1031209.

Where does Mary E Kelly, LICSW practice?

The practice location is 97 Libbey Industrial Pkwy Ste 301, Weymouth, MA 02189-3110. The office can be reached at 617-913-6220 (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 1558844811 directly on the NPPES registry website.

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