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

MS. Marianne Sample, LICSW

Individual provider Clinical Social Worker · NPI 1215903323

MS. Marianne Sample, LICSW is a Clinical Social Worker in North Reading, Massachusetts. Qualified in 1982, 44 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
44
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

352 Park St Ste 208
North Reading, MA 01864-2158
Phone: (978) 470-0520
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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 105888 (MA)

Record details

NPI number1215903323
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 28, 2006
Last updated in NPPESJuly 25, 2017
Mailing address42 Audubon Rd, Reading, MA 01867-1724

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in North Reading