Healthcare Provider Details

I. General information

NPI: 1235057779
Provider Name (Legal Business Name): ADAM B KALOWSKI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 CHANDLER ST
WORCESTER MA
01602-3441
US

IV. Provider business mailing address

25 BROOKDALE RD
NATICK MA
01760-3143
US

V. Phone/Fax

Practice location:
  • Phone: 877-222-0399
  • Fax:
Mailing address:
  • Phone: 617-875-0409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: