Kelly Ann McAdams, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

118227 Issued in MA

Practice address

57 Maverick St
Marblehead, MA 01945-2149

Phone

(617) 312-2026

NPI assigned

Aug 8, 2018

Last updated

Aug 8, 2018By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kelly McAdams, Licsw, LLC

  • Adult Mental Health Clinic/Center
  • Boston, MA
  • NPI 1326793381
  NPD Authorized official

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1841779196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MAVERICK ST",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452149",
            "telephone_number": "617-312-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 MAVERICK ST",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452149",
            "telephone_number": "617-312-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCADAMS",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla P. Meyer, Licsw LLC
• Lisa Marques, PHARMD
• Julie Martinez, MD
• Mandy Maryanski
• Rita Matlis, PHARMACIST
• Jessica McConnell
• Roxann McFarlane
• Deanna Marie McMahon, FNP-C
• Eliza Mellen-Smith, LIC. AC.
• Bianca Faustine Melo, DO

• Clinical Social Worker in Marblehead, MA
• Providers in Marblehead, 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 8, 2018; 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.