Deborah Herzog, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104572 Issued in MA

Practice address

10 High St Ste 10
Medford, MA 02155-3848

Phone

(781) 395-1560

Fax

(781) 391-5564

NPI assigned

Oct 28, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1013093392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021550004",
            "telephone_number": "781-395-1560",
            "fax_number": "781-391-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH ST STE 10",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553848",
            "telephone_number": "781-395-1560",
            "fax_number": "781-391-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "DEBORAH",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1859056",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Jane Hendrickson, PMHCNS,BC
• Luisana Andreina Henriquez Garcia
• Christopher Herbs
• Angelany Hernandez
• Nicole Marie Hersel, NP
• Leylana Higgins-Borders
• Margaret Higham, MD
• Jane Hill, LMHC
• Natalie Hill
• Charles G. Hoar, LMHC

• Clinical Social Worker in Medford, MA
• Providers in Medford, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.