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

SAMUEL KELLOGG, LICSW

Active Sole Proprietor

SAMUEL KELLOGG, LICSW is a School Social Worker healthcare provider located in NORTH CHELMSFORD, Massachusetts. NPI 1477028363 is currently active in the NPPES registry. Verify at CMS.

School Social Worker · NORTH CHELMSFORD, MA

Registration Details

NPI Number
1477028363
Provider Type
Individual
Gender
Male
NPI Issued
Oct 8, 2018 (7.8779935378672 yrs)
Last Updated
Oct 8, 2018
License
121488 (MA)
Sole Proprietor
Yes

Practice Information

Address
25 WELLMAN AVE
NORTH CHELMSFORD, MA, 018631334
Browse MA providers · Browse ZIP 01863
Phone
9782514050
Primary Specialty
School Social Worker
1041S0200X
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.