Individual provider Active NPI

Kelsey Rees, LICSW

  • Clinical Social Worker
  • Ipswich, MA
National Provider Identifier
1972051415
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125786 Issued in MA
Practice address
4 S Main St Ste 9
Ipswich, MA 01938-2345
Phone
(978) 704-0130
NPI assigned
Sep 13, 2016
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 125786 MA Primary

Addresses

Primary practice location

4 S Main St Ste 9
Ipswich, MA 01938-2345

Mailing address

4 S Main St Ste 9
Ipswich, MA 01938-2345
Phone (978) 704-0130

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251021000290 MA Practitioner - Clinical Social Worker 3678061843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4 S Main St
Ipswich, MA 01938-2345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125786MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Corf Psychology Group LLC Clinical CurrentSince Aug 8, 2025 Accepting new patients

Locations

4 S Main St
Ste 9
Ipswich, MA 01938
Phone (978) 704-1212

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1972051415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S MAIN ST STE 9",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382345",
            "telephone_number": "978-704-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S MAIN ST STE 9",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382345",
            "telephone_number": "978-704-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REES",
        "first_name": "KELSEY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ipswich, MA

Sources for this page

Verify at the official NPI Registry.