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

Elizabeth Taleas Southall, LICSW

Individual provider Social Worker · NPI 1225211436

Elizabeth Taleas Southall, LICSW is a Clinical Social Worker in Hanover, Massachusetts. Qualified in 2002, 24 years ago. Offers telehealth. Licensed in Massachusetts.

Years since qualifying
24
Licensed in
MA
In the registry since
2007
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

720 Washington St Ste 603
Hanover, MA 02339-2476
Phone: (617) 306-2748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 212052 (MA)

Record details

NPI number1225211436
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 11, 2007
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Hanover