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

Individual provider Clinical Social Worker · NPI 1801924212

Mrs. Talia Mary Bruce, LICSW is a Clinical Social Worker in Roxbury, Massachusetts. Qualified in 2005, 21 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
21
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

45 Dimock St Richards Bldg
Roxbury, MA 02119
Phone: (617) 442-8800
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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 115244 (MA)

Record details

NPI number1801924212
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 28, 2007
Last updated in NPPESAugust 26, 2009

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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