Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740298470 Individual Practitioner Male Practitioner

Michael Jonathan Mudd , MSW, LICSW

Social Worker - Clinical • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Michael Mudd, MSW, LICSW is a registered healthcare professional specializing in Social Worker - Clinical in Worcester, MA. Practice services are available at 72 JAQUES AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

72 Jaques Ave

Worcester, MA 016102476

Telephone 5088601000
Associated Practice Facility / Clinic
🏢 Community Healthlink Facility NPI 1538372602

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
626 Specialists

Practicing in Worcester, MA (18329 Statewide)

Telehealth Adoption Rate
6.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License MA 105620

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Licsw License
105620 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Mary Segraves , SLP

Speech-Language Pathologist

NPI 1023907110

Speech-Language Pathologist

Caroline Gowen

Counselor - Mental Health

NPI 1073978805
Jennifer Ross , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1164083747

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Julie St John , MA

Counselor - Addiction (Substance Use Disorder)

NPI 1164700142

Master of Arts

Taylor Ross

Developmental Therapist

NPI 1174240030
Mandi Altman , MSW

Social Worker

NPI 1235438128

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 72 JAQUES AVE, WORCESTER, MA 016102476 (Tel: 5088601000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 150 CRESCENT ST, WEST BOYLSTON, MA 015831032 (Tel: 5088353541)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL MUDD, MSW, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #105620 in MA)

🟢
Initial NPI Registration & Enumeration August 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740298470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

150 Crescent St

West Boylston, MA 015831032

Phone: 5088353541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.