Individual provider · Type 1 NPI

Tedra Lynn Hall, LICSW

Clinical Social Worker · Jamaica Plain, MA

NPI number 1700469087 Active

Practice location

11 Green St
Jamaica Plain, MA 02130-2588

Other practice locations

  • 11 River St, Wellesley, MA 02481-2017 · (781) 431-1177

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X128606 (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 1700469087

Tedra Lynn Hall, LICSW's National Provider Identifier is 1700469087, issued on May 4, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jamaica Plain, MA. The record was last updated on Dec 4, 2025.