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

MS. Simone Tetrault, LICSW

Individual provider Clinical Social Worker · NPI 1790839207

MS. Simone Tetrault, LICSW is a Clinical Social Worker in Holliston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

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

448 Marshall St
Holliston, MA 01746-1440
Phone: (617) 610-0137
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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 111545 (MA)

Record details

NPI number1790839207
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 22, 2007
Last updated in NPPESSeptember 6, 2018

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