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

Mr. Jay Robert Warren, LICSW

Individual provider Clinical Social Worker · NPI 1609891951

Mr. Jay Robert Warren, LICSW is a Clinical Social Worker in Cambridge, Massachusetts. Qualified in 1981, 45 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
45
Licensed in
MA
In the registry since
2006
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

875 Massachusetts Ave
Cambridge, MA 02139-3067
Phone: (617) 283-6336
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 105336 (MA)

Record details

NPI number1609891951
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJuly 13, 2006
Last updated in NPPESMay 1, 2017
Mailing address30 Buena Vista Park, Cambridge, MA 02140-2635

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Cambridge