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

Jonathan Matthew Lazzara, LICSW

Individual provider Social Worker · NPI 1588399703

Jonathan Matthew Lazzara, LICSW is a Clinical Social Worker in Brookline, Massachusetts. Qualified in 2022, 4 years ago. Practices with Brookline Community Mental Health Center Inc, a 28-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022
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

41 Garrison Rd
Brookline, MA 02445-4445
Phone: (617) 277-8107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21 Warwick Rd, Brookline, MA 02445-2059 — (617) 651-2635

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1120586 (MA)
Social Worker Taxonomy 104100000X · Licence 228239 (MA)

Record details

NPI number1588399703
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJuly 21, 2022
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Brookline Community Mental Health Center Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Brookline