Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. JOHN J FEDAK JR.
NPI 1174447759
Social Worker - Clinical in Boston, MA

Active since August 06, 2026
1340 BOYLSTON ST, BOSTON, MA 02215(617) 267-0900 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. John J Fedak Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN J FEDAK JR. (NPI 1174447759) is an individual clinical provider in Boston, Massachusetts and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1174447759
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JOHN J FEDAK JR.
Location Address1340 BOYLSTON STBoston, MA 02215-4302
Mailing Address67 Lubec St Apt 6East Boston, MA 02128-4957 · (508) 377-8002
Sole ProprietorNo
Enumeration DateAugust 6, 2026
NPPES CertifiedAugust 6, 2026
NPI 1174447759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
1340 BOYLSTON ST, Boston, MA 02215

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
1340 BOYLSTON ST
BOSTON, MA 02215
Family Medicine
1340 BOYLSTON ST
BOSTON, MA 02215
Dentist
1340 BOYLSTON ST
BOSTON, MA 02215
Dentist
1340 BOYLSTON ST
BOSTON, MA 02215
Social Worker (Clinical)
1340 BOYLSTON ST
BOSTON, MA 02215
Social Worker (Clinical)
1340 BOYLSTON ST
BOSTON, MA 02215
Nurse Practitioner
1340 BOYLSTON ST
BOSTON, MA 02215
Nurse Practitioner (Women's Health)
1340 BOYLSTON ST
BOSTON, MA 02215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Fedak's NPI number?

The NPI number for John Fedak is 1174447759. It was assigned to this individual provider in the NPPES registry on August 6, 2026.

Where is John Fedak located?

John Fedak practices at 1340 Boylston St, Boston, MA 02215. The listed phone number is (617) 267-0900.

What is John Fedak's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for John Fedak was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.