Frederick J. Moder, LICSW
Frederick J. Moder, LICSW is a Clinical Social Worker in Wellesley, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.
- Licensed in
- MA
- In the registry since
- 2006
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
230 Worcester StWellesley, MA 02481-5420
Phone: (781) 431-5270
Fax: (781) 431-5535
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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 105191 (MA) |
|---|
Record details
| NPI number | 1740220474 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICSW |
| Sole proprietor | No |
| NPI enumerated | June 8, 2006 |
| Last updated in NPPES | March 7, 2021 |
| Certification date | March 7, 2021 |
| Mailing address | 230 Worcester St, Wellesley, MA 02481-5420 |
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