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

Maxwell White, LICSW

Individual provider Clinical Social Worker · NPI 1073094728

Maxwell White, LICSW is a Clinical Social Worker in Newton, Massachusetts. Qualified in 2023, 3 years ago. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
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

1340 Centre St Ste 209
Newton, MA 02459-2453
Phone: (781) 449-4500
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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 LICSW1143344 (MA)

Record details

NPI number1073094728
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 21, 2018
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address1340 Centre St Ste 209, Newton, MA 02459-2453

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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