Individual provider · Type 1 NPI

Samuel Jay Fogel

Clinical Social Worker · Needham, MA

NPI number 1083492276 Active

Practice location

1968 Central Ave
Needham, MA 02492-1410

Mailing address

104 Coolidge Hill Rd Apt 5
Watertown, MA 02472-5025

Other practice locations

  • 1968 Central Ave, Needham, MA 02492-1410 · (781) 292-2195

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1083492276

Samuel Jay Fogel's National Provider Identifier is 1083492276, issued on Sep 19, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Needham, MA. The record was last updated on Sep 19, 2023.