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

Prof. Marilyn Gwen Wise, LICSW

Individual provider Clinical Social Worker · NPI 1972631778

Prof. Marilyn Gwen Wise, LICSW is a Clinical Social Worker in Boston, 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

55 Fruit St Wac 037 MGH
Boston, MA 02114
Phone: (617) 726-2617
Fax: (617) 726-1042
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 105769 (MA)

Record details

NPI number1972631778
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMarch 1, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Boston