Active NPIIndividual providerSole proprietor

Michael Lodge Jr., MSW

Social Worker, Clinical in Dorchester Center, Massachusetts

NPI Number1992128706
Practice location
34 Fairmount St, Dorchester Center, MA 02124-4602
Fax
—
Last updated
January 30, 2014

Michael Lodge is a Social Worker, Clinical based in Dorchester Center, MA. Michael Lodge practices in Dorchester Center, MA and has the professional credentials of MSW. The NPI Number for Michael Lodge is 1992128706. The current practice location address for Michael Lodge is 34 Fairmount St, Dorchester Center, MA 02124-4602 and can be reached out via phone at 617-669-5589.

Provider Profile Details

NPI Number
1992128706
Provider Name
Michael Lodge
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
34 Fairmount St, Dorchester Center, MA 02124-4602
Phone Number
617-669-5589
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2014
Last Update Date
January 30, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
34 Fairmount St
Dorchester Center, MA 02124-4602
Zip
02124-4602
Phone Number
617-669-5589
Dorchester Center, MA 02124Get directions →

Provider Business Mailing Address Details

Address
34 Fairmount St
Dorchester Center, MA 02124-4602
City
Dorchester Center
State
MA
Zip
02124-4602
Phone Number
617-669-5589

License Information

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 Michael Lodge Jr., MSW?

The NPI number of Michael Lodge Jr., MSW is 1992128706. It was assigned on January 30, 2014 and is currently active in the NPPES registry.

What is the specialty of Michael Lodge Jr., MSW?

Michael Lodge Jr., MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Michael Lodge Jr., MSW practice?

The practice location is 34 Fairmount St, Dorchester Center, MA 02124-4602. The office can be reached at 617-669-5589 (phone).

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 1992128706 directly on the NPPES registry website.

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