Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy S Kavadlo, LICSW

Individual provider Social Worker · NPI 1629054002

Amy S Kavadlo, LICSW is a Clinical Social Worker in Randolph, Massachusetts. Qualified in 1979, 47 years ago. Practices with Southeastern Psychiatric Assoc, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
47
Licensed in
MA
In the registry since
2005
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1093 N Main St
Randolph, MA 02368-2100
Phone: (781) 963-7775
Fax: (781) 963-7776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 104863 (MA)

Record details

NPI number1629054002
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedDecember 19, 2005
Last updated in NPPESFebruary 1, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Southeastern Psychiatric Assoc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Randolph