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

Individual provider Clinical Social Worker · NPI 1760965479

Jacquelyn Mary Mayo, LICSW is a Clinical Social Worker in Bedford, New Hampshire. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts and New Hampshire.

Licensed in
MA, NH
In the registry since
2018
Specialties on file
3
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

173 S River Rd Unit 3
Bedford, NH 03110
Phone: (603) 472-5279
Fax: (603) 488-1682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22 Old Canal Dr, Lowell, MA 01851-2730 — (978) 453-6800

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12336 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2935 (NH)
Clinical Social Worker Taxonomy 1041C0700X · Licence 000224046 (MA)

Record details

NPI number1760965479
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 9, 2018
Last updated in NPPESMay 28, 2025
Certification dateJuly 14, 2023

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