Individual provider · Type 1 NPI

Consuela Olivia Mansour, LICSW

Clinical Social Worker · Cambridge, MA

NPI number 1497365142 Active

Practice location

700 Massachusetts Ave
Cambridge, MA 02139-3345

Mailing address

27 Paul Gore St Apt 1
Boston, MA 02130-1838

Other practice locations

  • 2333 Ontario Rd NW, Washington, DC 20009-2627 · (202) 483-8196
  • 780 American Legion Hwy, Roslindale, MA 02131-3908 · (617) 469-8500

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLC200005006 (DC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X128300 (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 1497365142

Consuela Olivia Mansour, LICSW's National Provider Identifier is 1497365142, issued on Aug 7, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cambridge, MA. The record was last updated on Aug 18, 2026.