Individual provider · Type 1 NPI

Mary Victoria Lisbon, LICSW

Clinical Social Worker · Jamaica Plain, MA

NPI number 1750593307 Active

Practice location

180 Morton St, Room 404A
Jamaica Plain, MA 02130-3735

Call (617) 626-9370 Map

Mailing address

225A Walnut Ave # 3
Roxbury, MA 02119-1624

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1031432 (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…

24 other providers at this address

Other clinical social worker providers in Jamaica Plain

See all in Jamaica Plain →

About NPI 1750593307

Mary Victoria Lisbon, LICSW's National Provider Identifier is 1750593307, issued on May 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jamaica Plain, MA. The record was last updated on Jul 8, 2007.