Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Vanessa Mena-Gibson, LICSW

Individual provider Clinical Social Worker · NPI 1780351569

MS. Vanessa Mena-Gibson, LICSW is a Clinical Social Worker in Waltham, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2021
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

415 S St
Waltham, MA 02453-2700
Phone: (781) 736-3723
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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 123691 (MA)

Record details

NPI number1780351569
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 27, 2021
Last updated in NPPESSeptember 20, 2021
Certification dateSeptember 20, 2021

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