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

Individual provider Clinical Social Worker · NPI 1992845572

Mr. Jeremy James Desmond, LICSW is a Clinical Social Worker in Boston, Massachusetts. Qualified in 2002, 24 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
24
Licensed in
MA
In the registry since
2007
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

1 Deaconess Rd
Boston, MA 02215-5321
Phone: (617) 754-3638
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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 113948 (MA)

Record details

NPI number1992845572
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 6, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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