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

Individual provider Clinical Social Worker · NPI 1972960888

Kellie Dahlstrom, LICSW is a Clinical Social Worker in Worcester, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2016
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

50 Elm St #3B
Worcester, MA 01609-2574
Phone: (508) 755-0436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 215 Stratton Rd, Rutland, VT 05701-4621 — (802) 773-3386

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 118781 (MA)

Record details

NPI number1972960888
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 22, 2016
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022

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