Individual provider Active NPI

Kinsey Igo, LCSW, LICSW

  • Clinical Social Worker
  • Marion, MA
National Provider Identifier
1033077540
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107313 Issued in TX
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

LicenseStateTypeSpecialty
LICSW1143103MAMDClinical Social Worker
107313TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Five Seasons Therapy PLLC Clinical PastSince Jul 16, 2023 Accepting new patients

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete record for this NPI in the NPI Registry API format.

{
    "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.

Verify at the official NPI Registry.