Active NPIIndividual provider

Susan Kelledy, LICSW

Social Worker, Clinical in Westwood, Massachusetts

NPI Number1982789806
Practice location
789 Clapboardtree St, Westwood, MA 02090-1717
Fax
—
Last updated
February 1, 2010

Susan Kelledy is a Social Worker, Clinical based in Westwood, MA. Susan Kelledy practices in Westwood, MA and has the professional credentials of LICSW. The NPI Number for Susan Kelledy is 1982789806 and holds a License No. 212072 (MA). The current practice location address for Susan Kelledy is 789 Clapboardtree St, Westwood, MA 02090-1717 and can be reached out via phone at 781-461-0006.

Provider Profile Details

NPI Number
1982789806
Provider Name
Susan Kelledy
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
789 Clapboardtree St, Westwood, MA 02090-1717
Phone Number
781-461-0006
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 26, 2006
Last Update Date
February 1, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
789 Clapboardtree St
Westwood, MA 02090-1717
Zip
02090-1717
Phone Number
781-461-0006
Westwood, MA 02090Get directions →

Provider Business Mailing Address Details

Address
353 Main St
2R
Medford, MA 02155-6150
City
Medford
State
MA
Zip
02155-6150

License Information

License Number
212072
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 Susan Kelledy, LICSW?

The NPI number of Susan Kelledy, LICSW is 1982789806. It was assigned on October 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Susan Kelledy, LICSW?

Susan Kelledy, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 212072.

Where does Susan Kelledy, LICSW practice?

The practice location is 789 Clapboardtree St, Westwood, MA 02090-1717. The office can be reached at 781-461-0006 (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 1982789806 directly on the NPPES registry website.

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