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

Michael Jonathan Mudd, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1740298470

Michael Jonathan Mudd, MSW, LICSW is a Clinical Social Worker in Worcester, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2006
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

72 Jaques Ave
Worcester, MA 01610-2476
Phone: (508) 860-1000
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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 105620 (MA)

Record details

NPI number1740298470
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedAugust 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing address150 Crescent St, West Boylston, MA 01583-1032

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