Individual provider · Type 1 NPI

Justin Dodge, MSW, LICSW

Clinical Social Worker · Peabody, MA

NPI number 1669110912 Active

Practice location

9 Centennial Dr Ste 219
Peabody, MA 01960-7939

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 1669110912

Justin Dodge, MSW, LICSW's National Provider Identifier is 1669110912, issued on May 26, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peabody, MA. The record was last updated on May 5, 2026.