Individual provider · Type 1 NPI
Heather B. Mandeville, LICSW
Clinical Social Worker · Worcester, MA
Practice location
135 Gold Star Blvd
Worcester, MA 01606-2738
Fax (508) 849-5618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW224417 (MA) |
| Clinical Social Worker Primary | 1041C0700X | 124058 (MA) |
| Mental Health Counselor | 101YM0800X | LICSW124058 (MA) |
| Mental Health Counselor | 101YM0800X | None listed |
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 1487165072
Heather B. Mandeville, LICSW's National Provider Identifier is 1487165072, issued on Oct 23, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Worcester, MA. The record was last updated on Jul 6, 2026.