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

Kellissa Anne Paquette, LICSW

Individual provider Clinical Social Worker · NPI 1962122259

Kellissa Anne Paquette, LICSW is a Clinical Social Worker in Charlestown, Massachusetts. Qualified in 2018, 8 years ago. Practices with North End Community Health Committee, Inc, a 56-clinician group. Licensed in Massachusetts.

Years since qualifying
8
Licensed in
MA
In the registry since
2022
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

15 Tufts St
Charlestown, MA 02129-2711
Phone: (802) 238-2263
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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 000124651 (MA)

Record details

NPI number1962122259
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 29, 2022
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice North End Community Health Committee, Inc. — 56 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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