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

Individual provider Clinical Social Worker · NPI 1619098837

Mr. Amir Moghadam, LICSW is a Clinical Social Worker in Boston, Massachusetts. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in Massachusetts.

Years since qualifying
21
Licensed in
MA
In the registry since
2007
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

780 American Legion Hwy
Boston, MA 02131-3908
Phone: (617) 469-8500
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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 114565 (MA)

Record details

NPI number1619098837
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 3, 2007
Last updated in NPPESDecember 21, 2010

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated

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