Active NPI
Kinsey Igo, LCSW, LICSW
- Clinical Social Worker
- Marion, MA
National Provider Identifier
1033077540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107313
- Practice address
- 10 South Dr
Marion, MA 02738-2318 - Phone
- (469) 422-0376
- NPI assigned
- Jan 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW1143103 | MA | MD | Clinical Social Worker |
| 107313 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Seasons Therapy PLLC | Clinical | Past | Accepting new patients |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LICSW1143103 | MA | |
| Clinical Social Worker | 1041C0700X | 107313 | TX | Primary |
Addresses
Primary practice location
10 South Dr
Marion, MA 02738-2318
Mailing address
945 Stockton Dr Unit 7100
Allen, TX 75013-6155
NPI Registry JSON
{
"created_epoch": "1768262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1033077540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 STOCKTON DR UNIT 7100",
"city": "ALLEN",
"state": "TX",
"postal_code": "750136155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SOUTH DR",
"city": "MARION",
"state": "MA",
"postal_code": "027382318",
"telephone_number": "469-422-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGO",
"first_name": "KINSEY",
"credential": "LCSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-13",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW1143103",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "107313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.