Individual provider · Type 1 NPI

Jason Pugatch, LICSW

Clinical Social Worker · Waltham, MA

NPI number 1114626645 Active

Practice location

675 Main St
Waltham, MA 02451-0602

Call (800) 640-5432 Map

Mailing address

34 Shepard St
Cambridge, MA 02138-1522

Other practice locations

  • 34 Shepard St, Cambridge, MA 02138-1522 · (781) 222-4304

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLICSW1140600 (MA)

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 1114626645

Jason Pugatch, LICSW's National Provider Identifier is 1114626645, issued on Feb 23, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waltham, MA. The record was last updated on Sep 12, 2025.