Kevin Pelletier, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

221170 Issued in MA

Practice address

98 Lincoln St
Framingham, MA 01702-6354

Phone

(508) 879-3230

NPI assigned

Oct 23, 2015

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)

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.

• Skills for Change Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stoughton, MA
  • NPI 1063062107
  NPD (past) Authorized official
• Programs for People Inc

  • Community/Behavioral Health Agency
  • Framingham, MA
  • NPI 1801914205
  NPD (past)

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1811369333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BUTTERNUT RD",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027261511",
            "telephone_number": "508-493-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 LINCOLN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026354",
            "telephone_number": "508-879-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "KEVIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "221170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Ophthalmic Associates, Inc.
• Casey Pedro
• Francisco Willamy Pedrosa Alves Filho, MD
• Douglas C Peebles, M.D.
• Donna Pelkey, MA
• Courtney Peloquin, NURSE PRACTITIONER
• Xavier Pena
• Kasey Rose Pendexter, LMFT, LMHC
• Iva Penezic
• Antonia Xenia Penta, PA-C

• Clinical Social Worker in Framingham, MA
• Providers in Framingham, 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 Oct 23, 2015; 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.