Individual provider · Type 1 NPI

John J. Fedak Jr.

Clinical Social Worker · Boston, MA

NPI number 1174447759 Active

Practice location

1340 Boylston St
Boston, MA 02215-4302

Call (617) 267-0900 Map

Mailing address

67 Lubec St Apt 6
East Boston, MA 02128-4957

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 1174447759

John J. Fedak Jr.'s National Provider Identifier is 1174447759, issued on Aug 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Aug 6, 2026.