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

Kelley Wallace, LICSW

Individual provider Clinical Social Worker · NPI 1750448833

Kelley Wallace, LICSW is a Clinical Social Worker in Walpole, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2007
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

399 Lincoln Rd
Walpole, MA 02081-1218
Phone: (508) 668-7703
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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 113056 (MA)

Record details

NPI number1750448833
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 2, 2007
Last updated in NPPESJuly 8, 2007
Mailing address73 Knight Ave, Attleboro, MA 02703-7219

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