Healthcare Provider Details

I. General information

NPI: 1184548315
Provider Name (Legal Business Name): KAYLEE SCHWORM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 LYNDE ST
EVERETT MA
02149-3231
US

IV. Provider business mailing address

45 LYNDE ST
EVERETT MA
02149-3231
US

V. Phone/Fax

Practice location:
  • Phone: 617-942-0386
  • Fax: 617-942-0386
Mailing address:
  • Phone: 617-942-0386
  • Fax: 617-942-0386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. KAYLEE LANOR SCHWORM
Title or Position: OWNER
Credential: LICSW
Phone: 617-942-0386