MS. MARY VICTORIA LISBON LICSW
NPI 1750593307
Social Worker - Clinical in Jamaica Plain, MA

Active since May 04, 2007
180 MORTON ST, ROOM 404A, JAMAICA PLAIN, MA 02130(617) 626-9370 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary Victoria Lisbon Licsw NPPES

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

MS. MARY VICTORIA LISBON LICSW (NPI 1750593307) is an individual clinical provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (1031432) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1750593307
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY VICTORIA LISBONCredential: LICSW
Location Address180 MORTON ST, ROOM 404AJamaica Plain, MA 02130-3735
Mailing Address225a Walnut Ave # 3Roxbury, MA 02119-1624 · (617) 626-9370
Sole ProprietorNo
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1750593307 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 · 1031432
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.
180 MORTON ST, Jamaica Plain, MA 02130

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.

Social Worker (Clinical)
180 MORTON ST
JAMAICA PLAIN, MA 02130
Counselor (Mental Health)
180 MORTON ST
JAMAICA PLAIN, MA 02130
Social Worker (Clinical)
180 MORTON ST
JAMAICA PLAIN, MA 02130
Psychiatry & Neurology (Psychiatry)
180 MORTON ST
JAMAICA PLAIN, MA 02130
Registered Nurse (Psychiatric/Mental Health, Adult)
180 MORTON ST
BOSTON, MA 02130
Psychiatry & Neurology (Psychiatry)
180 MORTON ST, 4NORTH
JAMAICA PLAIN, MA 02130
Counselor (Mental Health)
180 MORTON ST
JAMAICA PLAIN, MA 02130
Registered Nurse (Psychiatric/Mental Health, Adult)
180 MORTON ST
JAMAICA PLAIN, MA 02130

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 Mary Lisbon's NPI number?

The NPI number for Mary Lisbon is 1750593307. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Mary Lisbon located?

Mary Lisbon practices at 180 Morton St Room 404A, Jamaica Plain, MA 02130. The listed phone number is (617) 626-9370.

What is Mary Lisbon's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Lisbon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.