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

Individual provider Clinical Social Worker · NPI 1164158879

Michele Shimizu-Kelley is a Clinical Social Worker in Worcester, Massachusetts. Qualified in 2023, 3 years ago. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2022
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Practice location Address checks out

26 Queen St
Worcester, MA 01610-2478
Phone: (508) 860-7930
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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 LICSW1143629 (MA)

Record details

NPI number1164158879
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2022
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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