Active NPIIndividual providerSole proprietor

Deborah Herzog, MSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1013093392
Practice location
10 High St Ste 10, Medford, MA 02155-3848
Fax
781-391-5564
Last updated
August 12, 2008

Deborah Herzog is a Social Worker, Clinical based in Medford, MA. Deborah Herzog practices in Medford, MA and has the professional credentials of MSW. The NPI Number for Deborah Herzog is 1013093392 and holds a License No. 104572 (MA). The current practice location address for Deborah Herzog is 10 High St Ste 10, Medford, MA 02155-3848 and can be reached out via phone at 781-395-1560 and via fax at 781-391-5564.

Provider Profile Details

NPI Number
1013093392
Provider Name
Deborah Herzog
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
10 High St Ste 10, Medford, MA 02155-3848
Phone Number
781-395-1560
Fax Number
781-391-5564
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 28, 2006
Last Update Date
August 12, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 High St Ste 10
Medford, MA 02155-3848
Zip
02155-3848
Phone Number
781-395-1560
Fax Number
781-391-5564
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
Po Box 311
Medford, MA 02155-0004
City
Medford
State
MA
Zip
02155-0004
Phone Number
781-395-1560
Fax Number
781-391-5564

License Information

License Number
104572
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Deborah Herzog, MSW?

The NPI number of Deborah Herzog, MSW is 1013093392. It was assigned on October 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Deborah Herzog, MSW?

Deborah Herzog, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 104572.

Where does Deborah Herzog, MSW practice?

The practice location is 10 High St Ste 10, Medford, MA 02155-3848. The office can be reached at 781-395-1560 (phone) or 781-391-5564 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013093392 directly on the NPPES registry website.

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