Kelly Exley-Smith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119658 Issued in MA

Practice address

281 Forest Hills St Apt 3
Jamaica Plain, MA 02130-3381

Phone

(617) 383-9718

NPI assigned

Jun 2, 2016

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Kelly Exley-Smith Psychotherapy LLC

  • Clinical Social Worker
  • Jamaica Plain, MA
  • NPI 1548846413
  NPD Authorized official

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1801244553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 FOREST HILLS ST APT 3",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303381",
            "telephone_number": "617-383-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 FOREST HILLS ST APT 3",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303381",
            "telephone_number": "617-383-9718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1269 Beacon St",
            "address_2": "Floor 3",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024465248",
            "country_code": "US",
            "telephone_number": "617-383-9718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EXLEY-SMITH",
        "first_name": "KELLY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2021-04-21",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Zobrosky Estes
• Eva M. Balash, MD
• Caroline Noel Evans, PHARMD, RPH
• Kelsie Rae Evans
• Tiffany Marie Everett, PA-C
• Lori-Anne Facella
• Christopher Olakunle Fagbote, PHARMD
• Parker Rose Fairfield
• Andrea Falvey
• Family Caregivers

• Clinical Social Worker in Jamaica Plain, MA
• Providers in Jamaica Plain, 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 Apr 21, 2021; 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.