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

Individual provider Clinical Social Worker · NPI 1306299219

Michelle Kelly, LICSW is a Clinical Social Worker in Harwich Port, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
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

38 Sisson Rd Unit 202
Harwich Port, MA 02646
Phone: (774) 269-6229
Fax: (508) 437-8118
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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

Record details

NPI number1306299219
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJuly 15, 2016
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022

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