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Contact Information

DEBORAH HERZOG, MSW
10 HIGH ST STE 10
MEDFORD, MA02155-3848
 Phone: 781-395-1560
 Fax: 781-391-5564
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DEBORAH HERZOG · (Female)

NPI # 1013093392
Status Active
Credentials MSW (Master of Science in Social Work)
Entity Individual
Enumeration date 10/28/2006
Last updated 08/12/2008 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 104572
  • MA Medicaid 1859056
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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