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

Individual provider Clinical Social Worker · NPI 1366970667

Jenna Bancroft, LICSW is a Clinical Social Worker in Waltham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2017.

Licensed in
MA
In the registry since
2017
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

431 River St Ste 1
Waltham, MA 02453
Phone: (781) 891-0556
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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 123376 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 223676 (MA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1366970667
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 31, 2017
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021
Mailing address431 River St Ste 1, Waltham, MA 02453-5483

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