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

Individual provider Clinical Social Worker · NPI 1679052427

Ellen Henline, LICSW is a Clinical Social Worker in Maynard, 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

14 Garfield St
Maynard, MA 01754-1850
Phone: (781) 258-0869
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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 111246 (MA)

Record details

NPI number1679052427
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 13, 2018
Last updated in NPPESAugust 13, 2018

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