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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1932685252

Jackie Peterson, LICSW, LCSW is an Addiction (Substance Use Disorder) Counselor in Boston, Massachusetts. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
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.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

399 Boylston St
Boston, MA 02116-3305
Phone: (617) 336-3246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 585 Lincoln St, Worcester, MA 01605-1906 — (508) 831-0045

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1932685252
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LCSW
Sole proprietorYes
NPI enumeratedJuly 19, 2018
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022

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