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

Emerson Fang, LICSW

Individual provider Clinical Social Worker · NPI 1235866344

Emerson Fang, LICSW is a Clinical Social Worker in Quincy, Massachusetts. Qualified in 2020, 6 years ago. Practices with Professional Medical Concierge Services PLLC, a 76-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
6
In the registry since
2022
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

234 Copeland St Ste 320
Quincy, MA 02169-4082
Phone: (617) 479-4545
Fax: (617) 481-5296
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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

Record details

NPI number1235866344
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 8, 2022
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Professional Medical Concierge Services Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Quincy