Vicki Leigh Kellam, LICSW
NPI 1972686202ActiveIndividual· Social Worker· Waltham, MA
Social Worker (LICSW) with Child and Family Psychological Services PLLC, practicing in Waltham, Massachusetts. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1972686202 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Oct 23, 2006 |
| Last updated in NPPES | Jul 22, 2025 |
| Certified by provider | Jul 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | — | — |
| Social Worker, Clinical | 1041C0700X | 115264 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MA) |
|---|
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Child and Family Psychological Services PLLCCanton, MA · 278 clinicians
Other social workers in Waltham
- 1063154425
- 1649656570
- 1760964118
- 1285986976
- 1356837231
- 1093294449
- 1992078729
- 1750731451
- 1831956143
- 1548661069
- 1659040178
- 1487393492
All 80 social workers in Waltham · All social workers in Massachusetts