MS. KELLY GRAY EZICKSON LICSW
NPI 1043284839
Social Worker in Quincy, MA
NPI Status: Active since February 16, 2006
Contact Information
29 COTTAGE AVE SUITE 11
QUINCY, MA
ZIP 02169
Phone: (617) 472-9838
Fax: (617) 472-6269
- Individual
- Female
- Social Worker
About KELLY EZICKSON
This page provides the complete NPI Profile along with additional information for Kelly Ezickson, a provider established in Quincy, Massachusetts with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1043284839 assigned on February 2006. The practitioner's primary taxonomy code is 104100000X with license number 1020756 (MA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1043284839
- Provider Name
- MS. KELLY GRAY EZICKSON LICSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 29 COTTAGE AVE SUITE 11 QUINCY, MA 02169
- Location Phone
- (617) 472-9838
- Location Fax
- (617) 472-6269
- Mailing Address
- 29 COTTAGE AVE SUITE 11 QUINCY, MA 02169
- Mailing Phone
- (617) 472-9838
- Mailing Fax
- (617) 472-6269
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-16-2006
- Last Update Date
- 07-09-2007
- Code Navigator
A social worker like Kelly Ezickson helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1020756
- License State
- MA
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P06289 | OTHER (01) | MA | BCBS |
| RA P30158 | MEDICAID (05) | MA | |
| EZ P23326 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | IND |
Reviews for MS. KELLY GRAY EZICKSON LICSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 2 | 8 | 4 | 8 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 4 | 8 | 8 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 4 + 8 + 8 + 8 + 6 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1043284839 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588630438 | DEBORAH G ROUSLIN LICSW Individual | Social Worker | 29 COTTAGE AVE SUITE 11 QUINCY, MA 02169 (617) 472-9838 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043284839, enumerated in the NPI registry as an "individual" on February 16, 2006
The provider is located at 29 Cottage Ave Suite 11 Quincy, Ma 02169 and the phone number is (617) 472-9838
The provider's speciality is Social Worker with taxonomy code 104100000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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