Active NPI
Mary Morris Kelley, MSW, LICSW
- Clinical Social Worker
- New Bedford, MA
National Provider Identifier
1861474066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110374
- Practice address
- 384 County St
The Gilbert Russell House, 2ND FL
New Bedford, MA 02740-4980 - Phone
- (508) 996-5418
- Fax
- (508) 996-5474
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110374 | MA | Primary |
Addresses
Primary practice location
384 County St
The Gilbert Russell House, 2ND FL
New Bedford, MA 02740-4980
Mailing address
33 Cypress St
Portsmouth, RI 02871-1220
Phone (401) 683-4331
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2182448 | Other | MA | CIGNA |
| 460410 | Other | MA | TUFTS HEALTH PLAN |
| PO8093 | Other | MA | BC/BS OF MASSACHUSETTS |
| 26547-0 | Other | RI | BC/BS OF RHODE ISLAND |
| 410491 | Other | RI | OTHER RI BC/BS PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110374 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1861474066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 CYPRESS ST",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028711220",
"telephone_number": "401-683-4331",
"fax_number": "508-996-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 COUNTY ST",
"address_2": "THE GILBERT RUSSELL HOUSE, 2ND FL",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027404980",
"telephone_number": "508-996-5418",
"fax_number": "508-996-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "MARY",
"middle_name": "MORRIS",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "110374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2182448",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "460410",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MASSACHUSETTS",
"identifier": "PO8093",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF RHODE ISLAND",
"identifier": "26547-0",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER RI BC/BS PLANS",
"identifier": "410491",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.