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

Samuel Kitchens, LICSW

Individual provider Clinical Social Worker · NPI 1104651843

Samuel Kitchens, LICSW is a Clinical Social Worker in Allston, Massachusetts. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2024
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

1330 Commonwealth Ave Apt 30
Allston, MA 02134-3932
Phone: (704) 930-9816
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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 LICSW1143608 (MA)

Record details

NPI number1104651843
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 3, 2024
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026
Mailing address1330 Commonwealth Ave Apt 30, Allston, MA 02134-3932

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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