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

Individual provider Mental Health Counselor · NPI 1487165072

Heather B Mandeville, LICSW is a Mental Health Counselor in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2017.

Licensed in
MA
In the registry since
2017
Specialties on file
4
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

135 Gold Star Blvd
Worcester, MA 01606-2738
Phone: (508) 459-6400
Fax: (508) 849-5618
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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 124058 (MA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LCSW224417 (MA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LICSW124058 (MA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1487165072
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 23, 2017
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address135 Gold Star Blvd, Worcester, MA 01606-2738

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