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

Individual provider Clinical Social Worker · NPI 1932680840

Shreya Bansal, LICSW is a Clinical Social Worker in Medford, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2018.

Licensed in
MA
In the registry since
2018
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

3920 Mystic Valley Pkwy Apt 602
Medford, MA 02155-6907
Phone: (847) 962-2596
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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 119302 (MA)

Record details

NPI number1932680840
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 28, 2018
Last updated in NPPESAugust 28, 2018

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