Individual provider · Type 1 NPI

Michael Lodge Jr., MSW

Clinical Social Worker · Dorchester Center, MA

NPI number 1992128706 Active

Practice location

34 Fairmount St
Dorchester Center, MA 02124-4602

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 1992128706

Michael Lodge Jr., MSW's National Provider Identifier is 1992128706, issued on Jan 30, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dorchester Center, MA. The record was last updated on Jan 30, 2014.