Jackson E Ravenscroft, LICSW
Jackson E Ravenscroft, LICSW is a Mental Health Counselor in Roslindale, Massachusetts. Registered with an NPI since 2014.
- In the registry since
- 2014
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
43 Cummins HwyRoslindale, MA 02131-2523
Phone: (617) 306-5049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1992110159 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICSW |
| Sole proprietor | No |
| NPI enumerated | June 26, 2014 |
| Last updated in NPPES | November 8, 2023 |
| Certification date | November 8, 2023 |
| Mailing address | 43 Cummins Hwy, Roslindale, MA 02131-2523 |
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