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

Consuela Olivia Mansour, LICSW

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497365142

Consuela Olivia Mansour, LICSW is a Clinical Social Worker in Cambridge, Massachusetts. Qualified in 2021, 5 years ago. Works from 3 locations. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2020
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.

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Practice location Address checks out

700 Massachusetts Ave
Cambridge, MA 02139-3345
Phone: (888) 500-2067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 128300 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497365142
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 7, 2020
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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