Individual provider · Type 1 NPI

Mackenzie Cordova, LCSW

Clinical Social Worker · Boston, MA

NPI number 1336929231 Active

Practice location

450 Brookline Ave
Boston, MA 02215-5450

Mailing address

106 Bunker Hill St Unit 5
Boston, MA 02129-3131

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLCSW229661 (MA)
Clinical Social Worker Primary 1041C0700XLICSW1142131 (MA)

Clinical Social Worker: 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 interpers…

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About NPI 1336929231

Mackenzie Cordova, LCSW's National Provider Identifier is 1336929231, issued on Sep 29, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Aug 5, 2026.