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

Kelly Wildes, LCSW

Individual provider Clinical Social Worker · NPI 1083340012

Kelly Wildes, LCSW is a Clinical Social Worker in Lowell, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2022
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

166 Central St
Lowell, MA 01852-1910
Phone: (978) 513-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 133 Chestnut Hill Avenue, Brighton, MA 02135 — (857) 299-0371

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW229108 (MA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1083340012
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 1, 2022
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

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