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

Phyllis Widbur Carlson, LICSW

Individual provider Social Worker · NPI 1154486603

Phyllis Widbur Carlson, LICSW is a Social Worker in Roslindale, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
Specialties on file
2
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

15 Ravenna Rd
Roslindale, MA 02131
Phone: (617) 325-6759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN68987 (MA)
Social Worker Taxonomy 104100000X · Licence 100299 (MA)

Record details

NPI number1154486603
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 26, 2006
Last updated in NPPESSeptember 11, 2025

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