Kerry Lavallee, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114963 Issued in MA

Practice address

164 Main St
Boylston, MA 01505-1928

Phone

(508) 928-7555

NPI assigned

Oct 5, 2009

Last updated

Aug 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Richer Soil Counseling LLCGroup PAC ID 4082050265, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richer Soil Counseling LLC

  • Clinical Social Worker
  • Boylston, MA
  • NPI 1447712575
  Medicare reassignment Care Compare group NPD Authorized official
• Family Services Organization of Worcester, Inc

  dba Family Services of Central Massachusetts

  • Mental Health Counselor
  • Worcester, MA
  • NPI 1467556928
  NPD (past)

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1285969576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 MAIN ST",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051928",
            "telephone_number": "508-928-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 MAIN ST",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051928",
            "telephone_number": "508-928-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1084 Main St",
            "address_purpose": "LOCATION",
            "city": "Holden",
            "state": "MA",
            "postal_code": "015201289",
            "country_code": "US",
            "telephone_number": "508-928-7555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVALLEE",
        "first_name": "KERRY",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jen Ellis LMHC LLC
• Jessica Rose Jolly, MA, LMHC
• Jimmy Kakouris, PT, DPT. CSCS
• Hodrin Kamnang
• Jennifer Lee Konisky, OTR/L
• Lynne Lavallee, NP
• Lisa Munroe, DPT, PLLC
• Luz V Mercado, LPN
• Kevin James Moyer-Wilkes, M.ED., NCC
• Lisa Munroe, DPT

• Clinical Social Worker in Boylston, MA
• Providers in Boylston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.