Active NPIIndividual provider

Mrs. Kelly S Macquade, LICSW

Social Worker, Clinical in Dorchester, Massachusetts

NPI Number1720126246
Practice location
105 Victory RD, Dorchester, MA 02122
Fax
—
Last updated
May 30, 2018

Kelly S Macquade is a Social Worker, Clinical based in Dorchester, MA. Kelly S Macquade practices in Dorchester, MA and has the professional credentials of LICSW. The NPI Number for Kelly S Macquade is 1720126246 and holds a License No. 213235 (MA). The current practice location address for Kelly S Macquade is 105 Victory RD, Dorchester, MA 02122 and can be reached out via phone at 617-371-3010.

Provider Profile Details

NPI Number
1720126246
Provider Name
Kelly S Macquade
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
105 Victory RD, Dorchester, MA 02122
Phone Number
617-371-3010
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Kelly A Scott, LCSW (Former Name)
Provider Enumeration Date
February 5, 2007
Last Update Date
May 30, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Victory RD
Dorchester, MA 02122
Zip
02122
Phone Number
617-371-3010
Dorchester, MA 02122Get directions →

Provider Business Mailing Address Details

Address
25 N Street Cir
Walpole, MA 02081-3009
City
Walpole
State
MA
Zip
02081-3009
Phone Number
617-797-2618

License Information

License Number (1)
213235
License State (1)
MA
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
114595
License State (2)
MA
Taxonomy (2)
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 Mrs. Kelly S Macquade, LICSW?

The NPI number of Mrs. Kelly S Macquade, LICSW is 1720126246. It was assigned on February 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kelly S Macquade, LICSW?

Mrs. Kelly S Macquade, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 213235.

Where does Mrs. Kelly S Macquade, LICSW practice?

The practice location is 105 Victory RD, Dorchester, MA 02122. The office can be reached at 617-371-3010 (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 1720126246 directly on the NPPES registry website.

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