1. Home
  2. Directory
  3. Massachusetts
  4. Arlington
  5. Social Worker
  6. NPI Profile

MISS JENNIFER LINN DESOUZA LICSW
NPI 1063578482
Social Worker - Clinical in Arlington, MA

Active since December 29, 2006Opted out of Medicare · through Mar 25, 2028
259 MASSACHUSETTS AVE, ARLINGTON, MA 02474(617) 575-9438 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2023, Jun 28, 2018, Jan 12, 2017 (3 updates tracked since 2017).

About Miss Jennifer Linn Desouza Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JENNIFER LINN DESOUZA LICSW (NPI 1063578482) is an individual clinical provider in Arlington, Massachusetts, licensed in Massachusetts (110660) and active in the NPI registry since December 2006. She has opted out of Medicare through March 25, 2028.

NPPES Registry Identity

NPI1063578482
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS JENNIFER LINN DESOUZACredential: LICSW
Location Address259 MASSACHUSETTS AVEArlington, MA 02474-8406
Mailing Address259 Massachusetts AveArlington, MA 02474-8406 · (617) 955-1095
Phone(617) 575-9438
Sole ProprietorYes
Enumeration DateDecember 29, 2006
Last NPPES UpdateOctober 10, 20233 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1063578482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 110660
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
259 MASSACHUSETTS AVE, Arlington, MA 02474
Open in Google Maps ↗

Other Names 1

Former Name (1)Jennifer Linn Mank Licsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Miss Jennifer Linn Desouza Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 25, 2024 through March 25, 2028.

Opt-Out Effective DateMarch 25, 2024
Opt-Out In Effect ThroughMarch 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. THOMAS ARTHUS DENTON LICSW
Social Worker (Clinical)
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (781) 643-5451
ELIZABETH JANE SPEAR LMHC, LMFT,
Counselor (Mental Health)
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (617) 816-6402
MR. PAUL DAVID HARRISON LICSW
Social Worker (Clinical)
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (978) 618-5288
MAXINE OROCOFSKY PSY.D
Counselor
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (617) 851-8376
DR. SUSAN ELLEN GOTTLIEB PH.D.
Psychologist
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (781) 641-0272
ANGEL R. SEIBRING PH.D.
Psychologist (Clinical)
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (781) 648-0881
BARBARA SCHMITZ LMHC
Counselor (Mental Health)
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (617) 431-6353
DR. CARIN JANET ROBERGE PSY.D.
Psychologist (Clinical)
259 MASSACHUSETTS AVE
ARLINGTON, MA 02474
Middlesex County (781) 646-6697

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Desouza's NPI number?

The NPI number for Jennifer Desouza is 1063578482. It was assigned to this individual provider in the NPPES registry on December 29, 2006. The provider is also known as Jennifer Linn Mank Licsw.

Where is Jennifer Desouza located?

Jennifer Desouza practices at 259 Massachusetts Ave, Arlington, MA 02474. The listed phone number is (617) 575-9438.

What is Jennifer Desouza's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jennifer Desouza enrolled in Medicare?

No. Jennifer Desouza has opted out of Medicare through March 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Desouza was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.