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

Individual provider Clinical Social Worker · NPI 1073201190

Sandra Maria Ofenbock, LICSW is a Clinical Social Worker in Lynn, Massachusetts. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2023
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

95 Pleasant St
Lynn, MA 01901-1524
Phone: (617) 407-1781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 Massachusetts Ave Fl 3, Cambridge, MA 02139-3345 — (888) 500-2067

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LICSW1143152 (MA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1073201190
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 26, 2023
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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