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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KYLE KOZELKA, LICSW

Active

MR. KYLE KOZELKA, LICSW is a Clinical Social Worker healthcare provider located in BOSTON, Massachusetts. NPI 1124544754 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BOSTON, MA

Registration Details

NPI Number
1124544754
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2017 (9.0058225094271 yrs)
Last Updated
Dec 11, 2019
License
120650 (MA)

Practice Information

Address
NORTHEASTERN UNIVERSITY, 360 HUNTINGTON AVENUE
135 FORSYTH BLDG, UHCS
BOSTON, MA, 022155400
Browse MA providers · Browse ZIP 02215
Phone
6173732772
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in BOSTON, MA

Name Credential NPI
MR. CHARLES G MARTEL L.I.C.S.W. 1881690014
KELLY FOURNIER LICSW 1750379780
MR. ADAM GLICK LICSW 1134110489
DR. AUDREY ADES LICSW 1144205675
MS. LYNDA BETH SHUSTER MSW, LICSW 1497728232
MS. MARY ANN SPARKS MSW 1053385740
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.