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

Mary Therese Ibrahim, LICSW

Individual provider Clinical Social Worker · NPI 1427754779

Mary Therese Ibrahim, LICSW is a Clinical Social Worker in Natick, Massachusetts. Qualified in 2021, 5 years ago. Offers telehealth. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2023
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

250 N Main St
Natick, MA 01760-1108
Phone: (339) 237-1077
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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 LICSW1141362 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 228916 (MA)

Record details

NPI number1427754779
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 7, 2023
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Natick