Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDERICK J. MODER, LICSW
ActiveFREDERICK J. MODER, LICSW is a Clinical Social Worker healthcare provider located in WELLESLEY, Massachusetts. NPI 1740220474 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WELLESLEY, MA
Registration Details
- NPI Number
- 1740220474
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2006 (20.157906710746 yrs)
- Last Updated
- Mar 7, 2021
- License
-
105191 (MA)
Practice Information
- Address
-
230 WORCESTER STWELLESLEY, MA, 024815420Browse MA providers · Browse ZIP 02481
- Phone
- 7814315270
- Fax
- 7814315535
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in WELLESLEY, MA
| Name | Credential | NPI |
|---|---|---|
| MR. TRACY BARNES | MSW LICSW | 1053395616 |
| MS. TANYA CHERKERZIAN | LICSW | 1790760858 |
| KATHERINE JACOBS EYRE | MSW LICSW | 1356316988 |
| LAURA SUNDERLAND KINNEY | MSW LICSW | 1487629176 |
| CATHY SPEAR | — | 1619944519 |
| MRS. ANDREA ELIZABETH KILLAM | LICSW | 1700853587 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.