FREDERICK J. MODER LICSW
NPI 1740220474
Social Worker - Clinical in Wellesley, MA

Active since June 08, 2006
230 WORCESTER ST, WELLESLEY, MA 02481(781) 431-5270(781) 431-5535 Get Directions Write a Review

NPPES record last updated: March 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Frederick J. Moder Licsw NPPES

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

FREDERICK J. MODER LICSW (NPI 1740220474) is an individual clinical provider in Wellesley, Massachusetts, licensed in Massachusetts (105191) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1740220474
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameFREDERICK J. MODERCredential: LICSW
Location Address230 WORCESTER STWellesley, MA 02481-5420
Mailing Address230 Worcester StWellesley, MA 02481-5420 · (781) 431-5270 · Fax (781) 431-5535
Fax(781) 431-5535
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateMarch 7, 2021
NPPES CertifiedMarch 7, 2021
NPI 1740220474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 105191
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.
230 WORCESTER ST, Wellesley, MA 02481

Other Identifiers 2

Other669500MA · Tufts Health Plan
OtherP03399MA · Blue Cross

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.

Psychologist
230 WORCESTER ST
WELLESLEY, MA 02481
Nurse Practitioner (Pediatrics)
230 WORCESTER ST
WELLESLEY, MA 02481
Nurse Practitioner (Adult Health)
230 WORCESTER ST
WELLESLEY, MA 02481
Nurse Practitioner (Adult Health)
230 WORCESTER ST
WELLESLEY, MA 02481
Nurse Practitioner (Adult Health)
230 WORCESTER ST
WELLESLEY, MA 02481
Obstetrics & Gynecology
230 WORCESTER ST
WELLESLEY, MA 02481
Internal Medicine
230 WORCESTER ST, INTERNAL MEDICINE
WELLESLEY, MA 02481
Physician Assistant (Medical)
230 WORCESTER ST
WELLESLEY, MA 02481

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 Frederick Moder's NPI number?

The NPI number for Frederick Moder is 1740220474. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Frederick Moder located?

Frederick Moder practices at 230 Worcester St, Wellesley, MA 02481. The listed phone number is (781) 431-5270.

What is Frederick Moder'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 Frederick Moder was last updated on March 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.