Damen Kelton, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122184 Issued in MA

Practice address

700 Massachusetts Ave FL 3
Cambridge, MA 02139-3345

Phone

(888) 500-2067

Fax

(617) 649-8520

NPI assigned

Mar 4, 2025

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1295533396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MASSACHUSETTS AVE FL 3",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393345",
            "telephone_number": "888-500-2067",
            "fax_number": "617-649-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MASSACHUSETTS AVE FL 3",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393345",
            "telephone_number": "888-500-2067",
            "fax_number": "617-649-8520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Ruddock Rd",
            "address_purpose": "LOCATION",
            "city": "Sudbury",
            "state": "MA",
            "postal_code": "017761317",
            "country_code": "US",
            "telephone_number": "617-549-3351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELTON",
        "first_name": "DAMEN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Malkin Kelly, MD
• Matthew Kelsey, LICSW
• Peter V Kelsey, LICSW
• Gwendolyn Anne Kelso, PH.D.
• Michael Donnell Kelso Jr., MD
• David Dix Kemmerer, PH.D.
• John Warner Kenagy, M.D.
• Kendall Psychological Associates, P.C.
• Kendall Square Therapeutic Health Center, P.C.
• Katelyn Kendrigan

• Clinical Social Worker in Cambridge, MA
• Providers in Cambridge, 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 Mar 4, 2025; 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.