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

David Kilgallon, LICSW

Individual provider Clinical Social Worker · NPI 1295021509

David Kilgallon, LICSW is a Clinical Social Worker in South Dennis, Massachusetts. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
16
Licensed in
MA
In the registry since
2011
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

23 Route 134 Ste 10
South Dennis, MA 02660-3740
Phone: (508) 394-0959
Fax: (508) 394-0959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 117481 (MA)

Record details

NPI number1295021509
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 24, 2011
Last updated in NPPESNovember 25, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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