MS. KERRY LAVALLEE (LICSW) – Clinical Social Worker, NPI 1285969576

MS. KERRY LAVALLEE (LICSW) is a healthcare provider. based in North grafton, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 114963 (MA). The NPI Number for MS. KERRY LAVALLEE (LICSW) is 1285969576

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MS. KERRY LAVALLEE (LICSW)
NPI
1285969576
Phone
(508) 928-7555
Address
55 N MAIN ST
Enumeration Date
5 October 2009
Last Update Date
23 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089287555500
Graduation Year
1998 (28 years ago)
PAC ID
7416393699
Group Practice PAC ID
4082050265
Professional Enrollment ID
I20240311001330
Address ID
MA015051928BO164XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for MS. KERRY LAVALLEE (LICSW)

  • 55 N MAIN ST

    NORTH GRAFTON, MA 015361519

    Phone: (508) 928-7555

    Type: Location

  • 31 Harvard St

    Worcester, MA 016092836

    Phone: (508) 756-4646

    Type: Location

  • 55, Mill Road, Morningdale, Boylston, Worcester County, Massachusetts, 01545, United States

    BOYLSTON, MA 015052012

    Phone: (508) 928-7555

    Type: Mailing

  • 164, Main Street, Morningdale, Boylston, Worcester County, Massachusetts, 01653, United States

    BOYLSTON, MA 015051928

    Phone: (508) 928-7555

    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: 2024-03-11

PECOS data refreshed: 2026-05-27

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
I20240311001330IClinical 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 01536)

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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: 4082050265View full group profile
NameSpecialtyState
Clinical Social WorkerNH
Mental Health CounselorMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

Can I verify MS. KERRY LAVALLEE (LICSW) with an NPI only?
You can start verification with NPI 1285969576 for MS. KERRY LAVALLEE (LICSW), then check state licensing separately.
Is MS. KERRY LAVALLEE (LICSW) still practicing?
MS. KERRY LAVALLEE (LICSW) is currently listed as active in the public NPI registry.
What healthcare role does MS. KERRY LAVALLEE (LICSW) hold?
Scheduling teams often label MS. KERRY LAVALLEE (LICSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does MS. KERRY LAVALLEE (LICSW) serve?
MS. KERRY LAVALLEE (LICSW)'s listing highlights North Grafton, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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