Individual provider · Type 1 NPI

Kelly S. Macquade, LICSW

Clinical Social Worker · Dorchester, MA

NPI number 1720126246 Active

Practice location

105 Victory Rd
Dorchester, MA 02122

Mailing address

25 N Street Cir
Walpole, MA 02081-3009

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X213235 (MA)
Clinical Social Worker Primary 1041C0700X114595 (MA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1720126246

Kelly S. Macquade, LICSW's National Provider Identifier is 1720126246, issued on Feb 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dorchester, MA. The record was last updated on May 30, 2018.