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

Mrs. Vicki Leigh Kellam, LICSW

Individual provider Clinical Social Worker · NPI 1972686202

Mrs. Vicki Leigh Kellam, LICSW is a Clinical Social Worker in Waltham, Massachusetts. Qualified in 2000, 26 years ago. Practices with Child and Family Psychological Services PLLC, a 255-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
26
Licensed in
MA
In the registry since
2006
Specialties on file
2
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

281 Winter St Ste 340
Waltham, MA 02451-8766
Phone: (617) 999-2184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X · Licence 115264 (MA)

Record details

NPI number1972686202
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Child And Family Psychological Services Pllc — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Waltham