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

Individual provider Social Worker · NPI 1982710448

Sandra L Wolosenko, LICSW is a Social Worker in Medford, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
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

151 Mystic Ave
Medford, MA 02155-4632
Phone: (781) 396-1199
Fax: (781) 396-1439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 101971 (MA)

Record details

NPI number1982710448
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESJanuary 4, 2012

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