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

Jonathan Michael Rosen, LICSW

Individual provider Clinical Social Worker · NPI 1629366844

Jonathan Michael Rosen, LICSW is a Clinical Social Worker in Southbridge, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.

Licensed in
MA
In the registry since
2011
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

100 S St
Southbridge, MA 01550-4051
Phone: (508) 764-5075
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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 118720 (MA)

Record details

NPI number1629366844
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 21, 2011
Last updated in NPPESDecember 17, 2015
Mailing address100 South St, Southbridge, MA 01550-4051

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