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

Jaclyn Mickiewicz, LICSW

Individual provider Counselor · NPI 1295953461

Jaclyn Mickiewicz, LICSW is a Counselor in Shelburne Falls, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
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.

See every abbreviation used in this directory →

Practice location Address checks out

26 Severance St
Shelburne Falls, MA 01370-1217
Phone: (413) 775-3432
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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 LICSW126010 (MA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1295953461
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 23, 2007
Last updated in NPPESOctober 30, 2024
Certification dateOctober 1, 2024
Mailing address26 Severance St, Shelburne Falls, MA 01370-1217

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