Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972686202 Individual Practitioner Female Practitioner

Vicki Leigh Kellam , LICSW

Social Worker • Waltham, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Vicki Kellam, LICSW is a certified Social Worker practicing in Waltham, MA. With approximately 26 years of clinical experience since completing medical education in 2000, Vicki Kellam delivers high-quality medical care to the local community at 281 WINTER ST STE 340.

Vicki Kellam is affiliated with Child And Family Psychological Services Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

281 Winter St Ste 340

Waltham, MA 024518766

Telephone 6179992184

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Waltham, MA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +11.0 yrs vs City Avg
City Avg: 15.0 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
83 Specialists

Practicing in Waltham, MA (5619 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kellam (26 Years) 26 Yrs
Waltham Specialty Average (15.0 Years) 15.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 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

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1303287 (MA)
Commercial Insurance / Payer ID Tax Id
042611055
Commercial Insurance / Payer ID Tufts
703136
Commercial Insurance / Payer ID Nhp
1004745 (MA)
Commercial Insurance / Payer ID Network Health
996
Commercial Insurance / Payer ID Bcbs
M18633
Commercial Insurance / Payer ID Mbhp
1303287 (MA)
Commercial Insurance / Payer ID Boston Med
NP01332

Hospital & Practice Group Affiliations

Child And Family Psychological Services Pllc

281 Winter St, Waltham, MA 024518760

Phone: 7816460500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Nicole Perez Elias , LCSW

Social Worker - Clinical

NPI 1114634870

Licensed Clinical Social Worker

Carson Byrne , MA

Psychologist

NPI 1366960700

Master of Arts

Heather Boston , MA

Counselor - Mental Health

NPI 1497541338

Master of Arts

Judith Casarella , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1528127750

Advanced Practice Registered Nurse

Elise Spintzyk

Nurse Practitioner - Psychiatric/Mental Health

NPI 1710573753
Faith Sudbey , LCSW

Social Worker - Clinical

NPI 1720541840

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location July 22, 2025

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

📍
Updated Business Mailing Address July 22, 2025

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

👤
Provider Name / Credentials Updated July 22, 2025

Recorded as VICKI KELLAM, LICSW

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

Social Worker (License #115264 in MA)

📍
Updated Practice Location April 25, 2024

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

👤
Provider Name / Credentials Updated April 25, 2024

Recorded as VICKI KELLAM, MSW

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

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

📍
Updated Business Mailing Address July 08, 2007

Registered at 282 BEDFORD ST, LEXINGTON, MA 024213352

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as VICKI FREDRICKSON, MSW

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.