Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLY GRAY EZICKSON, LICSW
ActiveMS. KELLY GRAY EZICKSON, LICSW is a Social Worker healthcare provider located in QUINCY, Massachusetts. NPI 1043284839 is currently active in the NPPES registry. Verify at CMS.
Social Worker · QUINCY, MA
Registration Details
- NPI Number
- 1043284839
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 16, 2006 (20.346223438479 yrs)
- Last Updated
- Jul 9, 2007
- License
-
1020756 (MA)
Practice Information
- Address
-
29 COTTAGE AVE SUITE 11QUINCY, MA, 02169Browse MA providers · Browse ZIP 02169
- Phone
- 6174729838
- Fax
- 6174726269
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in QUINCY, MA
| Name | Credential | NPI |
|---|---|---|
| DEBORAH G ROUSLIN | LICSW | 1588630438 |
| MS. JACQUELINE ALMESTICA | MSW | 1174557391 |
| MRS. AMY R VALLELI | MSW | 1124031513 |
| EMILY BEATTY | — | 1558465039 |
| GILBERT HOWARD PETERS | LMHC | 1821197419 |
| MRS. REGINA MARIE KERNAN | L.I.C.S.W. | 1841390234 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.