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

Phyllis Widbur Carlson, LICSW

Individual provider Social Worker · NPI 1154486603

Phyllis Widbur Carlson, LICSW is a Social Worker in Roslindale, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
Specialties on file
2
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

15 Ravenna Rd
Roslindale, MA 02131
Phone: (617) 325-6759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN68987 (MA)
Social Worker Taxonomy 104100000X · Licence 100299 (MA)

Record details

NPI number1154486603
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 26, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address15 Ravenna Rd, Roslindale, MA 02131

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