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

Individual provider Mental Health Counselor · NPI 1558878264

Taverly Jude Sousa, LICSW is a Mental Health Counselor in Brookline, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

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

33 Pond Ave # B207
Brookline, MA 02445-7163
Phone: (617) 739-0075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 106122 (MA)

Record details

NPI number1558878264
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 3, 2018
Last updated in NPPESJanuary 3, 2018

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