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

Mr. Kenneth B Jaeger, LICSW

Individual provider Clinical Social Worker · NPI 1730281007

Mr. Kenneth B Jaeger, LICSW is a Clinical Social Worker in Brighton, Massachusetts. Qualified in 2003, 23 years ago. Accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
23
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

77B Warren St
Brighton, MA 02135-3601
Phone: (617) 787-1901
Fax: (617) 254-3461
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 113372 (MA)

Record details

NPI number1730281007
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing address77b Warren St, Brighton, MA 02135-3601

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brighton