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

MS. Mary Victoria Lisbon, LICSW

Individual provider Clinical Social Worker · NPI 1750593307

MS. Mary Victoria Lisbon, LICSW is a Clinical Social Worker in Jamaica Plain, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

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.

See every abbreviation used in this directory →

Practice location Address checks out

180 Morton St Rm 404A
Jamaica Plain, MA 02130-3735
Phone: (617) 626-9370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1031432 (MA)

Record details

NPI number1750593307
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 4, 2007
Last updated in NPPESJuly 8, 2007

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