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

Mr. Allen Mark Spivack, LICSW

Individual provider Clinical Social Worker · NPI 1417240706

Mr. Allen Mark Spivack, LICSW is a Clinical Social Worker in Roxbury, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

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.

See every abbreviation used in this directory →

Practice location Address checks out

55 Dimock St Rm 309
Roxbury, MA 02119-1029
Phone: (617) 442-8800
Fax: (617) 427-1126
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1029802 (MA)

Record details

NPI number1417240706
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMay 19, 2011
Last updated in NPPESMay 19, 2011

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