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

Mrs. Laurel Boland, LICSW

Individual provider Clinical Social Worker · NPI 1134734965

Mrs. Laurel Boland, LICSW is a Clinical Social Worker in Southbridge, Massachusetts. Qualified in 2021, 5 years ago. Practices with Massachusetts Psychiatric Services LLC, a 13-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2020
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

139 S St
Southbridge, MA 01550-4032
Phone: (508) 909-7799
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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

Record details

NPI number1134734965
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 9, 2020
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address258 Main St, Sturbridge, MA 01566-1540

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Massachusetts Psychiatric Services Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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