Provider Demographics
NPI:1376686865
Name:KIELSON, GAIL (LICSW)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:
Last Name:KIELSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 IRELAND ST
Mailing Address - Street 2:
Mailing Address - City:W CHESTERFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01084
Mailing Address - Country:US
Mailing Address - Phone:413-296-4327
Mailing Address - Fax:
Practice Address - Street 1:78 MAIN ST
Practice Address - Street 2:SUITE 401
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060
Practice Address - Country:US
Practice Address - Phone:413-586-3926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1054191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical