Patricia Kiessling, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

102025 Issued in MA

Practice address

80 Washington St Ste 55
Norwell, MA 02061

Phone

(781) 290-3886

Fax

(781) 836-5006

NPI assigned

Apr 18, 2007

Last updated

Aug 23, 2018By 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 2

Addresses

Other identifiers 1

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

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.

• South Shore Center for Wellness LTD

  dba South Shore Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norwell, MA
  • NPI 1720221740
  Medicare reassignment NPD
• South Shore Center for Wellness LTD

  dba South Shore Counseling & Speech Pathology

  • Speech-Language Pathologist
  • Hanover, MA
  • NPI 1558697573
  NPD
• Family Service Association of Greater Boston

  dba Family Service of Greater Boston

  • Community/Behavioral Health Agency
  • Jamaica Plain, MA
  • NPI 1801916176
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1538385372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST STE 55",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611740",
            "telephone_number": "781-290-3886",
            "fax_number": "781-836-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST STE 55",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "02061",
            "telephone_number": "781-290-3886",
            "fax_number": "781-836-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Heath St",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021301650",
            "country_code": "US",
            "telephone_number": "617-523-6400 x5826",
            "fax_number": "617-523-3034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIESSLING",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1022025",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "102025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303414",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystina Marie Kennedy
• Melissa Fournier Kennedy, PT, OCS
• Christopher M Kenney, M.D.
• Thomas J Kenney Jr., MD
• Emily Kerwin, PH.D.
• Kim O'Brien, LMHC, LLC
• Kim Psychiatric Services
• Deborah Kiyeon Kim, D.M.D.
• Hee Jin Esther Kim, SCD, RD, LD
• Jessica Kim, PMH-NP-BC

• Clinical Social Worker in Norwell, MA
• Providers in Norwell, 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 23, 2018; 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.

Verify at the official NPI Registry.