Macquade, Kelly S

Macquade, Kelly S is an individual health care provider with primary practice located at 105 Victory Rd , Dorchester MA 02122. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Macquade, Kelly S can be contacted via phone (617) 371-3010.

Contact Information

Primary practice address
105 Victory Rd Dorchester MA 02122
Phone: (617) 371-3010
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 213235 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 114595 Massachusetts

Profile Details

NPI number 1720126246
LBN Legal business name Macquade, Kelly S
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated May 30th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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