Michael Lodge Jr., MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

34 Fairmount St
Dorchester Center, MA 02124-4602

Phone

(617) 669-5589

NPI assigned

Jan 30, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1992128706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 FAIRMOUNT ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021244602",
            "telephone_number": "617-669-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 FAIRMOUNT ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021244602",
            "telephone_number": "617-669-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODGE",
        "first_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lehane, MSPT
• Asha Tenia Lewis
• Jonathan D. Lieff, M.D.
• Eugene Han Liu, MD
• Sheldon S Lockman, M.D.
• Amanda B. Loftus, RN
• Christine Lucas
• Kyaw Myo Lwin, MD, MPH
• M. Morey Farizan, M.D., P.C.
• Sean Patrick Marker, MD

• All providers in Dorchester Center, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.