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

Jessica L Lebow, LICSW

Individual provider Clinical Social Worker · NPI 1659895647

Jessica L Lebow, LICSW is a Clinical Social Worker in East Boston, Massachusetts. Qualified in 2017, 9 years ago. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2017
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

10 Gove St
East Boston, MA 02128-1920
Phone: (617) 568-5800
Fax: (617) 568-4756
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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 222803 (MA)

Record details

NPI number1659895647
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 1, 2017
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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