Mrs Vicki Leigh Kellam, LICSW in Waltham, MA - Medicare Social Worker Provider

Mrs Vicki Leigh Kellam, LICSW is a medicare enrolled "Social Worker" provider in Waltham, Massachusetts. Her current practice location is 281 Winter St Ste 340, Waltham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 999-2184.

Mrs Vicki Leigh Kellam is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972686202.

Contact Information

	Mrs Vicki Leigh Kellam, LICSW
	281 Winter St Ste 340, Waltham, MA 02451-8766
	(617) 999-2184
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Vicki Leigh Kellam
Gender	Female
Speciality	Social Worker
Location	281 Winter St Ste 340, Waltham, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972686202
Provider Enumeration Date: 10/23/2006
Last Update Date: 07/22/2025

Medicare PECOS Information:

PECOS PAC ID: 5698048619
Enrollment ID: I20170913001039

Medical Identifiers

Medical identifiers for Mrs Vicki Leigh Kellam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972686202	NPI	-	NPPES
1303287	Other	MA	MBHP
042611055	Other		TAX ID
1303287	Medicaid	MA
703136	Other		TUFTS
1004745	Other	MA	NHP
996	Other		NETWORK HEALTH
M18633	Other		BCBS
NP01332	Other		BOSTON MED

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	115264 (Massachusetts)	Secondary
104100000X	Social Worker	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Vicki Leigh Kellam allows following entities to bill medicare on her behalf.

Entity Name	Child And Family Psychological Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912987181 PECOS PAC ID: 5991763823 Enrollment ID: O20041227000004

Entity Name	Edinburg Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073617353 PECOS PAC ID: 4486681087 Enrollment ID: O20060503000404

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Vicki Leigh Kellam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Vicki Leigh Kellam, LICSW 281 Winter St Ste 340, Waltham, MA 02451-8766 Ph: (781) 317-6009	Mrs Vicki Leigh Kellam, LICSW 281 Winter St Ste 340, Waltham, MA 02451-8766 Ph: (617) 999-2184

Reviews and Comments

Social Worker in Waltham, MA

Mr. Timothy William Leahy, L.I.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 284 Bacon St, Waltham, MA 02451 Phone: 781-642-9601
Arielle Sobov, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1430 Main St, Waltham, MA 02451 Phone: 781-693-5636
Ms. Bonita Ann Ciambotti, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Rumford Ave, Waltham, MA 02453 Phone: 781-894-4307 Fax: 781-894-1195
Julie French, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 Hope Ave, Waltham, MA 02453 Phone: 617-355-6000
Heather Lynn Hastedt, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Hope Ave Ste 111, Waltham, MA 02453 Phone: 617-612-5202
Mary Woodland, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 Hope Ave, Waltham, MA 02453 Phone: 781-216-3352
Deborah Rooney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 431 River St, Waltham, MA 02453 Phone: 781-891-0555

Mrs Vicki Leigh Kellam, LICSW - Medicare Clinical Social Worker in Waltham, MA