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Vicki Leigh Kellam , LICSW

Social Worker β€’ Waltham, MA

Active NPI 1972686202 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

281 Winter St Ste 340
Waltham, MA 024518766

Call 6179992184 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

281 Winter St Ste 340

Waltham, MA 024518766

Telephone 6179992184
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Child And Family Psychological Services Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2000

Years since graduation

26 years (graduated 2000)

CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Vicki Kellam has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Vicki Kellam as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Waltham and Massachusetts

82 active clinicians are listed under Social Worker with a practice address in Waltham, MA (5,517 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Waltham

3.7% of these 82 clinicians have the CMS telehealth indicator.

3.7% of these 82 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-22
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES MA 115264

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1303287 (MA)
Other Identifier Tax Id
042611055
Other Identifier Tufts
703136
Other Identifier Nhp
1004745 (MA)
Other Identifier Network Health
996
Other Identifier Bcbs
M18633
Other Identifier Mbhp
1303287 (MA)
Other Identifier Boston Med
NP01332

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20170913001039

Enrollment State Jurisdiction

MA

PECOS Control ID

5698048619

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Child And Family Psychological Services Pllc

281 Winter St, Waltham, MA 024518760

Phone: 7816460500

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Judith Casarella , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1528127750

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location July 22, 2025

Registered at 281 WINTER ST STE 340, WALTHAM, MA 024518766 (Tel: 6179992184)

πŸ“
Updated Business Mailing Address July 22, 2025

Registered at 281 WINTER ST STE 340, WALTHAM, MA 024518766 (Tel: 7813176009)

πŸ‘€
Provider Name / Credentials Updated July 22, 2025

Recorded as VICKI KELLAM, LICSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2025

Social Worker (license number reported to NPPES: MA 115264)

πŸ“
Updated Practice Location April 25, 2024

Registered at 11 STANLEY RD, WALTHAM, MA 024523007 (Tel: 6179992184)

πŸ‘€
Provider Name / Credentials Updated April 25, 2024

Recorded as VICKI KELLAM, MSW

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 282 BEDFORD ST, LEXINGTON, MA 024213352 (Tel: 7818623600)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 282 BEDFORD ST, LEXINGTON, MA 024213352

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as VICKI FREDRICKSON, MSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker

🟒
Initial NPI Registration & Enumeration October 23, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972686202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2006
Last Update: July 22, 2025
Sole Proprietor: No

Mailing Address

281 Winter St Ste 340

Waltham, MA 024518766

Phone: 7813176009

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.