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

Jessica Prodis, LICSW

Individual provider Clinical Social Worker · NPI 1407166341

Jessica Prodis, LICSW is a Clinical Social Worker in Holyoke, Massachusetts. Qualified in 2010, 16 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth.

Years since qualifying
16
In the registry since
2010
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

30 Florence Ave
Holyoke, MA 01040-1813
Phone: (413) 687-8239
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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

Record details

NPI number1407166341
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 13, 2010
Last updated in NPPESJanuary 30, 2024
Certification dateDecember 16, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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