MS. SALLY KISS (LICSW) – Clinical Social Worker, NPI 1235515883

MS. SALLY KISS (LICSW) is a healthcare provider. based in Chestnut hill, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 122296 (MA). The NPI Number for MS. SALLY KISS (LICSW) is 1235515883

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MS. SALLY KISS (LICSW)
NPI
1235515883
Phone
(617) 676-3365
Address
300 SOUTH ST
Enumeration Date
5 August 2015
Last Update Date
19 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
7012346794
Group Practice PAC ID
3274067442
Professional Enrollment ID
I20241113000041
Address ID
MA021692704Qu455XXAPTX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

4,246 CLINICAL SOCIAL WORKER in MA

Provider Addresses for MS. SALLY KISS (LICSW)

  • 300 SOUTH ST

    CHESTNUT HILL, MA 024673694

    Phone: (617) 676-3365

    Fax: (617) 676-3472

    Type: Mailing

  • 455 SEA ST UNIT 1B

    QUINCY, MA 021692704

    Phone: (617) 396-4483

    Fax: (617) 687-8472

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-13

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241113000041IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02467)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274067442View full group profile
NameSpecialtyState
Clinical Social WorkerMA

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Frequently asked questions

What is the standard ID for MS. SALLY KISS (LICSW) in the U.S.?
In the U.S., MS. SALLY KISS (LICSW) is identified by NPI 1235515883.
Does the public listing show MS. SALLY KISS (LICSW) as active?
MS. SALLY KISS (LICSW)'s NPI record reflects an active status in NPPES.
What does the directory say MS. SALLY KISS (LICSW) does?
Insurance directories may phrase it differently, but here MS. SALLY KISS (LICSW) maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to MS. SALLY KISS (LICSW)?
The directory associates MS. SALLY KISS (LICSW) with Chestnut Hill, Massachusetts. Check all listed addresses for suites or satellite offices.
Who maintains MS. SALLY KISS (LICSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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