Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740220474 Individual Practitioner Male Practitioner

Frederick J. Moder , LICSW

Social Worker - Clinical • Wellesley, MA

Professional Overview & Biography Verified Profile Summary

Frederick Moder, LICSW is a registered healthcare professional specializing in Social Worker - Clinical in Wellesley, MA. Practice services are available at 230 WORCESTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

230 Worcester St

Wellesley, MA 024815420

Telephone 7814315270
Fax 7814315535
Associated Practice Facility / Clinic
🏢 Atrius Health, Inc. Facility NPI 1316070097

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Wellesley, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.2 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
96 Specialists

Practicing in Wellesley, MA (18329 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-07
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License MA 105191

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross
P03399 (MA)
Commercial Insurance / Payer ID Tufts Health Plan
669500 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
NPI 1013961051

Doctor of Philosophy (Ph.D.)

Dr. Priyamvada Kota , MD

Psychiatry & Neurology - Psychiatry

NPI 1093926818

Doctor of Medicine (M.D.)

Barbara Clivio , LICSW

Social Worker - Clinical

NPI 1154376960

Licensed Independent Clinical Social Worker

NPI 1215989801

Doctor of Philosophy (Ph.D.)

Lan Ho

Psychologist

NPI 1235814674
Kelly Terral , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1376045237

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address March 07, 2021

Registered at 230 WORCESTER ST, WELLESLEY, MA 024815420 (Tel: 7814315270)

NPI Profile Active April 08, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2009

Registered at 230 WORCESTER ST, WELLESLEY, MA 024815420 (Tel: 7814315270)

📍
Updated Business Mailing Address April 08, 2009

Registered at 147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 021094806 (Tel: 6175598051)

👤
Provider Name / Credentials Updated April 08, 2009

Recorded as FREDERICK MODER, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2009

Social Worker (License #105191 in MA)

🟢
Initial NPI Registration & Enumeration June 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740220474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2006
Last Update: March 07, 2021
Sole Proprietor: No

Mailing Address

230 Worcester St

Wellesley, MA 024815420

Phone: 7814315270

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.