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MR. KYLE KOZELKA LICSW
NPI 1124544754
Social Worker - Clinical in Boston, MA

Active since August 15, 2017
NORTHEASTERN UNIVERSITY, 360 HUNTINGTON AVENUE, 135 FORSYTH BLDG, UHCS, BOSTON, MA 02215(617) 373-2772 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 11, 2019, Dec 6, 2019, Aug 15, 2017 (3 updates tracked since 2017).

About Mr. Kyle Kozelka Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KYLE KOZELKA LICSW (NPI 1124544754) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (120650) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1124544754
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KYLE KOZELKACredential: LICSW
Location AddressNORTHEASTERN UNIVERSITY, 360 HUNTINGTON AVENUE, 135 FORSYTH BLDG, UHCSBoston, MA 02215-5400
Mailing AddressUhcs, Northeastern University, 360 Huntington Ave, 135 Forsyth BuildingBoston, MA 02115 · (617) 373-2772
Phone(617) 373-2772
Sole ProprietorNo
Enumeration DateAugust 15, 2017
Last NPPES UpdateDecember 11, 20193 updates tracked since enumeration
✔ NPI 1124544754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 120650
Definition
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.
NORTHEASTERN UNIVERSITY, 360 HUNTINGTON AVENUE, Boston, MA 02215
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Kozelka's NPI number?

The NPI number for Kyle Kozelka is 1124544754. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Where is Kyle Kozelka located?

Kyle Kozelka practices at Northeastern University, 360 Huntington Avenue 135 Forsyth Bldg, Uhcs, Boston, MA 02215. The listed phone number is (617) 373-2772.

What is Kyle Kozelka's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kyle Kozelka was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.