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

Individual provider Social Worker · NPI 1114407467

Marissa Shallcross, LICSW is a Social Worker in Boston, Massachusetts. Registered with an NPI since 2018.

In the registry since
2018
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

120 Boylston St
Boston, MA 02116
Phone: (617) 824-8586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1114407467
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 16, 2018
Last updated in NPPESAugust 16, 2018
Mailing address127 Jefferson St, Dedham, MA 02026-3613

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