Ms. Mary V Lisbon, LICSW
Social Worker, Clinical in Jamaica Plain, Massachusetts
1750593307- Practice location
- 180 Morton St, Room 404A, Jamaica Plain, MA 02130-3735
- Phone
- 617-626-9370
- Fax
- —
- Last updated
- July 8, 2007
Mary Victoria Lisbon is a Social Worker, Clinical based in Jamaica Plain, MA. Mary Victoria Lisbon practices in Jamaica Plain, MA and has the professional credentials of LICSW. The NPI Number for Mary Victoria Lisbon is 1750593307 and holds a License No. 1031432 (MA). The current practice location address for Mary Victoria Lisbon is 180 Morton St, Room 404A, Jamaica Plain, MA 02130-3735 and can be reached out via phone at 617-626-9370.
Provider Profile Details
- NPI Number
- 1750593307
- Provider Name
- Mary Victoria Lisbon
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 180 Morton St, Room 404A, Jamaica Plain, MA 02130-3735
- Phone Number
- 617-626-9370
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 4, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 180 Morton St
Room 404A
Jamaica Plain, MA 02130-3735 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-3735
- Phone Number
- 617-626-9370
Provider Business Mailing Address Details
- Address
- 225A Walnut Ave # 3
Roxbury, MA 02119-1624 - City
- Roxbury
- State
- MA
- Zip
- 02119-1624
- Phone Number
- 617-626-9370
License Information
- License Number
- 1031432
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Jamaica Plain, MA
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- Amy Vogt Counseling, LLCSocial Worker, Clinical · NPI 1528918083
- Ana Klett, LICSWSocial Worker, Clinical · NPI 1114331998
- Angela DepaolisSocial Worker, Clinical · NPI 1427405398
Frequently Asked Questions
What is the NPI number of Ms. Mary V Lisbon, LICSW?
The NPI number of Ms. Mary V Lisbon, LICSW is 1750593307. It was assigned on May 4, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Mary V Lisbon, LICSW?
Ms. Mary V Lisbon, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1031432.
Where does Ms. Mary V Lisbon, LICSW practice?
The practice location is 180 Morton St, Room 404A, Jamaica Plain, MA 02130-3735. The office can be reached at 617-626-9370 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750593307 directly on the NPPES registry website.