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

Individual provider Clinical Social Worker · NPI 1780062992

Kimberly Keating, LICSW is a Clinical Social Worker in Lynn, Massachusetts. Qualified in 2008, 18 years ago. Practices as a sole proprietor. Licensed in Massachusetts.

Years since qualifying
18
Licensed in
MA
In the registry since
2015
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

105 Perkins St
Lynn, MA 01905-1156
Phone: (978) 404-1569
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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 118783 (MA)

Record details

NPI number1780062992
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMay 8, 2015
Last updated in NPPESMay 8, 2015
Mailing address105 Perkins St, Lynn, MA 01905-1156

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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