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

Individual provider Clinical Social Worker · NPI 1528612389

Jennifer A Mirabella, LICSW is a Clinical Social Worker in Dedham, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2019
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

456 Providence Hwy
Dedham, MA 02026-6815
Phone: (781) 752-8774
Fax: (781) 461-2585
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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 222029 (MA)

Record details

NPI number1528612389
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJuly 30, 2019
Last updated in NPPESNovember 27, 2023

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