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

MS. Kelly Gray Ezickson, LICSW

Individual provider Social Worker · NPI 1043284839

MS. Kelly Gray Ezickson, LICSW is a Social Worker in Quincy, 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.

See every abbreviation used in this directory →

Practice location Address checks out

29 Cottage Ave Ste 11
Quincy, MA 02169
Phone: (617) 472-9838
Fax: (617) 472-6269
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 1020756 (MA)

Record details

NPI number1043284839
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 16, 2006
Last updated in NPPESJuly 13, 2026

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