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

Individual provider Clinical Social Worker · NPI 1184725855

MS. Kelley R Hendricken, LICSW is a Clinical Social Worker in Worcester, Massachusetts. Qualified in 1998, 28 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
28
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

6 Juneberry Ln
Worcester, MA 01606-1194
Phone: (774) 239-4161
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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 111101 (MA)

Record details

NPI number1184725855
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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