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

Individual provider Clinical Social Worker · NPI 1124544754

Mr. Kyle Kozelka, LICSW is a Clinical Social Worker in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2017.

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

Northeastern University 360 Huntington Avenue 135 Forsyth Bldg Uhcs
Boston, MA 02215-5400
Phone: (617) 373-2772
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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 120650 (MA)

Record details

NPI number1124544754
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 15, 2017
Last updated in NPPESDecember 11, 2019
Certification dateDecember 11, 2019

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