Individual provider · Type 1 NPI
Jordan Modig
Clinical Social Worker · Boston, MA
Practice location
840 Harrison Ave
Boston, MA 02118-2905
Mailing address
90 Lake Ave
Leicester, MA 01524-1904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 228332 (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 1730906546
Jordan Modig's National Provider Identifier is 1730906546, issued on Sep 23, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Sep 23, 2024.