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

Jake Donehey, LICSW

Individual provider Clinical Social Worker · NPI 1154091015

Jake Donehey, LICSW is a Clinical Social Worker in Somerville, Massachusetts. Qualified in 2023, 3 years ago. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2021
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.

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Practice location Address checks out

259 Elm St Ste 201
Somerville, MA 02144-2950
Phone: (617) 354-4450
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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 LICSW1141446 (MA)
Social Worker Taxonomy 104100000X

Record details

NPI number1154091015
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 14, 2021
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address259 Elm St Ste 201, Somerville, MA 02144-2950

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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