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

Individual provider Clinical Social Worker · NPI 1588725766

Mr. John S. Moynihan, LICSW is a Clinical Social Worker in Brookline, Massachusetts. Qualified in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
26
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.

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Practice location Address checks out

1330 Beacon St Ste 257
Brookline, MA 02446-3282
Phone: (617) 278-6322
Fax: (617) 278-6323
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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 111356 (MA)

Record details

NPI number1588725766
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESSeptember 16, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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