MANDI ELLA CLEGG


Address: 680 Centre St, Brockton, MA 02302-3308
Phone: 5089417498

MANDI ELLA CLEGG (NPI# 1760009328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760009328
Entity Type Individual
Full Name MANDI ELLA CLEGG
Credential BSW, MSW
Practice Address 680 Centre St
Brockton
MA 02302-3308
Mailing Address 99 Depot St Unit B
South Easton
MA 02375-1162
Practice Telephone 5089417498
Mailing Telephone 5185260405
Enumeration Date 2020-06-30
Last Update Date 2020-06-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 122817 MA Behavioral Health & Social Service Providers

Office Location

Street Address 680 CENTRE ST
City BROCKTON
State MA
Zip Code 02302-3308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639176910 Marcia Waitzman Obstetrics & Gynecology 680 Centre St, Brockton, MA 02302-3308 2005-07-01
1770196396 Samantha Lipsky Physician Assistant 680 Centre St, Brockton, MA 02302-3308 2020-08-24
1972128643 Matthew Hall Wilson Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-09
1679198493 Alyssa Dicosmo Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-09
1720603566 Tessie Allan Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
1588289375 Collin Rozanski Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
1619592417 Balaji Arun Jothishankar Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
1013532845 Angell Shi Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
1386269124 Rebecca Yanovsky Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
1619592482 Vaishali Mittal Student in an Organized Health Care Education/Training Program 680 Centre St, Brockton, MA 02302-3308 2020-06-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427513373 Miriam Monteiro Social Worker 688 Plain Street, Brockton, MA 02302 2019-02-05
1619432523 Shirley Elefson Social Worker 330 Crescent Street, Brockton, MA 02302 2019-02-05
1578055505 Steigmward Desir Specialist 472 E Ashland St, Brockton, MA 02302 2018-06-05
1114417797 Katherine Douglas Van Schaik Student in an Organized Health Care Education/Training Program Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 2018-05-18
1700376365 Emmanuel Carrodeguas Student in an Organized Health Care Education/Training Program Brockton Hospital, 680 Centre Street, Brockton, MA 02302 2018-05-18
1700303856 My Care, LLC Home Health 307 Field Street, Brockton, MA 02302 2017-08-29
1982124988 Shavon Franks Psychologist 30 Downey Rd, Brockton, MA 02302 2017-06-21
1831629286 Kings & Queens Empowered Religious Nonmedical Health Care Institution 312 Carl Ave, Brockton, MA 02302 2017-06-18
1487193389 Roseline Eliezer Licensed Practical Nurse 17 Simeon Avenue, Brockton, MA 02302 2017-02-13
1184008989 Danielle Parker Student in an Organized Health Care Education/Training Program 23 Grinnell Rd, Brockton, MA 02302 2015-07-13
Find all providers in zip 02302

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467975896 Alexandra Kruk Social Worker 103 Commercial St Fl 1, Brockton, MA 02302-3101 2017-07-18
1063932663 Hadijat O Laiyemo Social Worker 1115 W Chestnut St Ste 10102301, Brockton, MA 02301-7501 2017-06-23
1396137717 Casey Augustine Social Worker 311 Linwood St, Brockton, MA 02301-5623 2015-02-22
1811307853 Margaret Courtney Eldoueihi Social Worker Family and Community Resources Inc, 18 Newton Street, Brockton, MA 02301 2014-04-29
1578801460 Kirk George Wilmot Social Worker 349 N Pearl St, Brockton, MA 02301-1163 2013-01-28
1912272550 Marie Carmen Jocelyn Social Worker 31 Silver Rd, Brockton, MA 02301-3239 2012-03-15
1235448762 Elizabeth Gayle Archambault Social Worker 940 Belmont St # 35c, Brockton, MA 02301-5596 2010-10-01
1801125117 Iris Magaly Nieves Social Worker 43 Battles Farm Dr, Brockton, MA 02301-2215 2009-12-15
1154655926 Catherine Monica Stewart Social Worker 10 Christy Dr, Brockton, MA 02301-1812 2009-09-28
1679698930 Alisha M Morrissey Social Worker 110 Mulberry St, Brockton, MA 02302-2066 2007-03-19
Find all providers in BROCKTON

Competitor

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City BROCKTON
Zip Code 02302

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Dataset Information

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.

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