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

Individual provider Clinical Social Worker · NPI 1790223501

Keri Anne Reardon, LICSW is a Clinical Social Worker in Plymouth, Massachusetts. Qualified in 2002, 24 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
24
Licensed in
MA
In the registry since
2017
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

5 Aldrin Rd Ste 2
Plymouth, MA 02360-4814
Phone: (774) 404-7859
Fax: (774) 773-9045
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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 119812 (MA)

Record details

NPI number1790223501
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 1, 2017
Last updated in NPPESOctober 25, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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