Active NPI
Magdalene Kwakye, LICSW
- Clinical Social Worker
- Wellesley, MA
National Provider Identifier
1083390108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW127018
- Practice address
- 11 River St
Wellesley, MA 02481-2017 - Phone
- (781) 431-1177
- NPI assigned
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | LICSW127018 | MA | |
| Clinical Social Worker | 1041C0700X | LICSW127018 | MA | Primary |
Addresses
Primary practice location
11 River St
Wellesley, MA 02481-2017
Mailing address
425 W Meadow Rd
Lowell, MA 01854-1331
Other practice location 1
425 W Meadow Rd
Lowell, MA 01854-1331
Phone (978) 937-7667
Other practice location 2
700 Massachusetts Ave Fl 3
Cambridge, MA 02139-3345
Phone (888) 500-2067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW127018 | MA | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colony Care Inc | Current | Accepting new patients |
Locations
11 River St
Wellesley Hills, MA 02481
Phone (781) 237-7979
11 River St
Ste 1
Wellesley Hls, MA 02481
Phone (508) 695-7447
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.
-
- Mental Health Counselor
- Wellesley, MA
- NPI 1720053408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1083390108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W MEADOW RD",
"city": "LOWELL",
"state": "MA",
"postal_code": "018541331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 RIVER ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024812017",
"telephone_number": "781-431-1177"
}
],
"practiceLocations": [
{
"address_1": "425 W Meadow Rd",
"address_purpose": "LOCATION",
"city": "Lowell",
"state": "MA",
"postal_code": "018541331",
"country_code": "US",
"telephone_number": "978-937-7667",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Massachusetts Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021393345",
"country_code": "US",
"telephone_number": "888-500-2067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KWAKYE",
"first_name": "MAGDALENE",
"name_prefix": "Miss",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-23",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MA",
"license": "LICSW127018",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW127018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.