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

Zachary A Wilson, LICSW

Individual provider Clinical Social Worker · NPI 1740835651

Zachary A Wilson, LICSW is a Clinical Social Worker in Marlborough, Massachusetts. Qualified in 2000, 26 years ago. Licensed in Massachusetts.

Years since qualifying
26
Licensed in
MA
In the registry since
2019
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

4 Mount Royal Ave Ste 4-360
Marlborough, MA 01752-1961
Phone: (978) 222-3121
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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 LICSW111525 (MA)

Record details

NPI number1740835651
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 7, 2019
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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