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

Individual provider Clinical Social Worker · NPI 1679052427

Ellen Henline, LICSW is a Clinical Social Worker in Maynard, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
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

14 Garfield St
Maynard, MA 01754-1850
Phone: (781) 258-0869
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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 111246 (MA)

Record details

NPI number1679052427
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 13, 2018
Last updated in NPPESAugust 13, 2018
Mailing address14 Garfield St, Maynard, MA 01754-1850

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