CHRISTINE A. KJELLSON (LICSW) – Mental Health Counselor, NPI 1801822861

CHRISTINE A. KJELLSON (LICSW) is a healthcare provider. based in Newton, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1022685 (MA). The NPI Number for CHRISTINE A. KJELLSON (LICSW) is 1801822861

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE A. KJELLSON (LICSW)
NPI
1801822861
Phone
(857) 231-2279
Address
124 JEWETT ST
Enumeration Date
23 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173542275
Graduation Year
1991 (35 years ago)
PAC ID
7517862709
Group Practice PAC ID
6709799885
Professional Enrollment ID
I20031201000719
Address ID
MA021432706SO117XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for CHRISTINE A. KJELLSON (LICSW)

  • 124, Jewett Street, Newton Corner, Nonantum, Newtonville, Newton, Middlesex County, Massachusetts, 02458, United States

    NEWTON, MA 024581525

    Phone: (857) 231-2279

    Mailing address matches the actual address.

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: 2003-12-01

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
I20031201000719IClinical 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 02458)

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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: 6709799885View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to CHRISTINE A. KJELLSON (LICSW)?
NPI 1801822861 is assigned to CHRISTINE A. KJELLSON (LICSW) under the national enumeration system.
Is CHRISTINE A. KJELLSON (LICSW)'s NPI currently valid?
The extract we use shows CHRISTINE A. KJELLSON (LICSW) as active.
What kind of provider is CHRISTINE A. KJELLSON (LICSW)?
The page reflects Mental Health Counselor for CHRISTINE A. KJELLSON (LICSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for CHRISTINE A. KJELLSON (LICSW)?
The page summarizes Newton, Massachusetts for CHRISTINE A. KJELLSON (LICSW); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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