Provider Demographics
NPI:1821476417
Name:PRECIOUS, KELLY J (LICSW)
Entity Type:Individual
Prefix:MS
First Name:KELLY
Middle Name:J
Last Name:PRECIOUS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:J
Other - Last Name:CHAMBERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:2014 WASHINGTON ST
Mailing Address - Street 2:NEWTON WELLESLEY HOSPITAL
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462
Mailing Address - Country:US
Mailing Address - Phone:617-243-6000
Mailing Address - Fax:617-243-5669
Practice Address - Street 1:2014 WASHINGTON ST
Practice Address - Street 2:NEWTON WELLESLEY HOSPITAL
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462
Practice Address - Country:US
Practice Address - Phone:617-243-6000
Practice Address - Fax:617-243-5669
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical