Individual provider · Type 1 NPI
Kelly S. Macquade, LICSW
Clinical Social Worker · Dorchester, MA
Practice location
105 Victory Rd
Dorchester, MA 02122
Mailing address
25 N Street Cir
Walpole, MA 02081-3009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 213235 (MA) |
| Clinical Social Worker Primary | 1041C0700X | 114595 (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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- Jacqueline WallaceClinical Social Worker Dorchester, MA NPI 1033634977
- Julianna Brody-Fialkin, MSW MPH, LCSWClinical Social Worker Dorchester, MA NPI 1053712323
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.