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

Individual provider Clinical Social Worker · NPI 1144703570

MS. Tara Mullan Rousseau, LICSW is a Clinical Social Worker in Boston, Massachusetts. Qualified in 2002, 24 years ago. Practices with Brigham and Womens Physicians Organization Inc, a 2,916-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
24
Licensed in
MA
In the registry since
2018
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

1153 Centre St Ste 5J
Boston, MA 02130-3446
Phone: (617) 983-7300
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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 115150 (MA)

Record details

NPI number1144703570
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 11, 2018
Last updated in NPPESMarch 19, 2020
Certification dateMarch 19, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Brigham And Womens Physicians Organization Inc — 2916 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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