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

MS. Sally Kiss, LICSW

Individual provider Clinical Social Worker · NPI 1235515883

MS. Sally Kiss, LICSW is a Clinical Social Worker in Quincy, Massachusetts. Qualified in 2017, 9 years ago. Practices with Authentic Connections Counseling, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2015
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

455 Sea St Unit 1B
Quincy, MA 02169-2704
Phone: (617) 396-4483
Fax: (617) 687-8472
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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 122296 (MA)

Record details

NPI number1235515883
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 5, 2015
Last updated in NPPESMay 19, 2023
Certification dateMarch 24, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Authentic Connections Counseling — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Quincy