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

Khala Renee Jusell

Individual provider Social Worker · NPI 1174289201

Khala Renee Jusell is a Clinical Social Worker in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Boston Health Care for the Homeless Program, Inc, a 74-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

780 Albany St
Boston, MA 02118-2755
Phone: (857) 654-1000
Fax: (857) 654-1100
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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 LICSW1121553 (MA)
Social Worker Taxonomy 104100000X · Licence LCSW228950 (MA)

Record details

NPI number1174289201
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 12, 2021
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Boston Health Care For The Homeless Program, Inc. — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Boston