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

MS. Jacqueline Bango, LICSW

Individual provider Social Worker · NPI 1003329095

MS. Jacqueline Bango, LICSW is a Social Worker in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2017
Specialties on file
2
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

55 Fruit Street Founders Bldg Ste 880
Boston, MA 02114
Phone: (617) 643-8281
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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 120046 (MA)
Social Worker Taxonomy 104100000X · Licence 120046 (MA)

Record details

NPI number1003329095
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 13, 2017
Last updated in NPPESNovember 13, 2017
Mailing address35 N Margin St Apt 2, Boston, MA 02113-1638

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