IndividualActive
Kelly Macquade, LICSW
NPI 1720126246 · Clinical Social Worker · Dorchester, MA
Provider details
- NPI number
- 1720126246
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 213235 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Victory Rd
Dorchester, MA 02122
Phone: (617) 371-3010
Street-level locationGet directions
Mailing address
25 N Street Cir
Walpole, MA 02081-3009
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2018-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.