MATTHEW BLAKELY (NPI# 1043668908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043668908 |
| Entity Type | Individual |
| Full Name | MATTHEW BLAKELY |
| Credential | LICSW |
| Practice Address |
38 Mechanic St Ste 201 Foxboro MA 02035-2072 |
| Mailing Address |
100 Randall Rd Unit 439 Wrentham MA 02093-7023 |
| Practice Telephone | 5082819373 |
| Mailing Telephone | 5082819373 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
122351 | MA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Washington St, Norwood, MA 020623487 | 7812786554 | 7812786882 |
| 14 Fordham Rd, Allston, MA 021343006 | 6177826460 | 6177826457 |
| Street Address |
38 MECHANIC ST STE 201 |
| City | FOXBORO |
| State | MA |
| Zip Code | 02035-2072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144711227 | Amy Lynne Gallant | Registered Nurse | 283 South St, Foxboro, MA 02035 | 2018-05-23 |
| 1144695420 | Kennedy-donovan Center, Inc Aba Services | Behavioral Analyst | 1 Commercial Street, Foxboro, MA 02035 | 2015-12-11 |
| 1972912251 | Makenzie Katherine Elliott | Optometrist | 25 Mechanic Street, Foxboro, MA 02035 | 2014-08-12 |
| 1548522691 | Jessica Leigh Pushee | Dentist | 400 Foxborough Blvd, #9205, Foxborough, MA 02035 | 2012-06-14 |
| 1194034447 | Kimberly Roy Cohn | Nurse Practitioner | Studio At H2t, LLC, 17 Cocasset St, Ste 1, Foxboro, MA 02035 | 2010-10-05 |
| 1093809378 | Ann Xavier Wallace | Nurse Practitioner | 71 Walnut St, Foxboro, MA 02035 | 2006-10-03 |
| 1215020466 | Larry Alan Pincus | Psychiatry & Neurology | 30 Mechanic Street, Suite 2, Foxboro, MA 02035 | 2006-10-02 |
| 1104850999 | Amna Haq Khan | Obstetrics & Gynecology | 15 Payson Street, Foxboro, MA 02035 | 2006-07-10 |
| 1336186386 | Munaza Shamshad | Family Medicine | 18 Washington Street, Foxboro Center for Women & Family, Foxboro, MA 02035 | 2006-05-31 |
| 1538118971 | Teryl Dawn Pett | Physician Assistant | 20 Patriot Place, Foxboro, MA 02035 | 2006-05-10 |
| Find all providers in zip 02035 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144703737 | Donald Charles Markum | Social Worker | 22 Fox Ln, Foxboro, MA 02035-1563 | 2018-09-11 |
| 1306323936 | Jill L Pedrick | Social Worker | 75 Cross St, Foxboro, MA 02035-1335 | 2018-07-26 |
| 1376603415 | Neponset Valley Counseling Center | Social Worker | 11 Bird Street, Foxboro, MA 02035-9135 | 2006-12-11 |
| 1457438046 | Marsha Lee Getter | Social Worker | 32 Baker St, Foxboro, MA 02035-1910 | 2006-11-01 |
| 1023122298 | Carrie Ann Vinson | Social Worker | 30 Mechanic St, Foxboro, MA 02035-4021 | 2006-08-18 |
| 1700822277 | Kirsten E Grace | Social Worker | 34 School St Ste 207, Foxboro, MA 02035-2318 | 2006-06-21 |
| 1205310026 | Elizabeth Cauldwell-burke | Social Worker | 71 Walnut St, Foxboro, MA 02035-2533 | 2018-09-18 |
| 1992288641 | Kimberly Hanley | Social Worker | 71 Walnut St, Foxboro, MA 02035-2533 | 2018-09-10 |
| 1467953976 | Jayme Lynn Mcdonagh | Social Worker | 38 Mechanic St, Foxboro, MA 02035-4006 | 2018-02-21 |
| 1710499116 | Rosalyn Farinella Long | Social Worker | 71 Walnut St, Foxboro, MA 02035-2533 | 2017-10-26 |
| Find all providers in FOXBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.