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

Mrs. Mary Elizabeth Kelleher, LICSW

Individual provider Clinical Social Worker · NPI 1295798114

Mrs. Mary Elizabeth Kelleher, LICSW is a Clinical Social Worker in South Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
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

58 Old Colony Ave
South Boston, MA 02127-2406
Phone: (617) 268-1700
Fax: (617) 268-1991
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 105438 (MA)

Record details

NPI number1295798114
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 11, 2006
Last updated in NPPESMarch 25, 2014

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