SUSAN KELLEDY (LICSW) – Clinical Social Worker, NPI 1982789806

SUSAN KELLEDY (LICSW) is a healthcare provider. based in Westwood, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 212072 (MA). The NPI Number for SUSAN KELLEDY (LICSW) is 1982789806

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN KELLEDY (LICSW)
NPI
1982789806
Phone
(781) 461-0006
Address
789 CLAPBOARDTREE ST
Enumeration Date
26 October 2006
Last Update Date
1 February 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817698670
Graduation Year
2003 (23 years ago)
PAC ID
5092800813
Group Practice PAC ID
6709799885
Professional Enrollment ID
I20071009000017
Address ID
MA020623416NO190XXSTXX300
Telehealth
Yes
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 SUSAN KELLEDY (LICSW)

  • The Arc South Norfolk, 789, Clapboardtree Street, Ellis, Westwood, Norfolk County, Massachusetts, 02090, United States

    WESTWOOD, MA 020901717

    Phone: (781) 461-0006

    Type: Location

  • 353, Main Street, South Medford, West Medford, Medford, Middlesex County, Massachusetts, 02155, United States

    2R

    MEDFORD, MA 021556150

    Phone:

    Type: Mailing

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: 2007-10-09

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
I20071009000017IClinical 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 02090)

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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

Is there an official ID for SUSAN KELLEDY (LICSW) in U.S. healthcare records?
The official identifier for SUSAN KELLEDY (LICSW) is NPI 1982789806.
Would SUSAN KELLEDY (LICSW) appear as active to a payer?
You can treat SUSAN KELLEDY (LICSW) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is SUSAN KELLEDY (LICSW)?
SUSAN KELLEDY (LICSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for SUSAN KELLEDY (LICSW)?
Travel planning: use Westwood, Massachusetts as the reference point for SUSAN KELLEDY (LICSW), then confirm.
Can I trust this NPI listing for SUSAN KELLEDY (LICSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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