Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Maniscalco, LICSW

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104220961

Benjamin Maniscalco, LICSW is a Student in an Organized Health Care Education/Training Program in Burlington, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2014
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

111 S Bedford St Ste 208
Burlington, MA 01803-5145
Phone: (781) 309-7207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 122879 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104220961
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 22, 2014
Last updated in NPPESAugust 30, 2020
Certification dateAugust 30, 2020
Mailing address111 S Bedford St Ste 208, Burlington, MA 01803-5145

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