Individual provider · Type 1 NPI

Kelly Gray Ezickson, LICSW

Social Worker · Quincy, MA

NPI number 1043284839 Active

Practice location

29 Cottage Ave Suite 11
Quincy, MA 02169

Call (617) 472-9838 Map

Fax (617) 472-6269

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000X1020756 (MA)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1043284839

Kelly Gray Ezickson, LICSW's National Provider Identifier is 1043284839, issued on Feb 16, 2006. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Quincy, MA. The record was last updated on Jul 13, 2026.