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

MS. Maryellen Fairchild Collamore, LICSW, LCSW, MT-BC

Individual provider Clinical Social Worker · NPI 1124336920

MS. Maryellen Fairchild Collamore, LICSW, LCSW, MT-BC is a Clinical Social Worker in South Hamilton, Massachusetts. Qualified in 2014, 12 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Massachusetts and Pennsylvania.

Years since qualifying
12
Licensed in
CA, MA, PA
In the registry since
2010
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

380 Highland St
South Hamilton, MA 01982-1310
Phone: (978) 233-1226
Show map & directions

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

Additional practice locations (1)

  • 1825 4th St, San Francisco, CA 94143-2350 — (415) 353-7982

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 121357 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 81865 (CA)
Music Therapist Taxonomy 225A00000X · Licence 09139 (PA)

Record details

NPI number1124336920
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LCSW , MT-BC
Sole proprietorYes
NPI enumeratedSeptember 15, 2010
Last updated in NPPESMay 28, 2021
Certification dateMay 28, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 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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