Active NPIIndividual providerSole proprietor

Matthew Blakely, LICSW

Social Worker, Clinical in Foxboro, Massachusetts

NPI Number1043668908
Practice location
38 Mechanic St Ste 201, Foxboro, MA 02035-2072
Fax
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Last updated
January 6, 2020

Matthew Blakely is a Social Worker, Clinical based in Foxboro, MA. Matthew Blakely practices in Foxboro, MA and has the professional credentials of LICSW. The NPI Number for Matthew Blakely is 1043668908 and holds a License No. 122351 (MA). The current practice location address for Matthew Blakely is 38 Mechanic St Ste 201, Foxboro, MA 02035-2072 and can be reached out via phone at 508-281-9373.

Provider Profile Details

NPI Number
1043668908
Provider Name
Matthew Blakely
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
38 Mechanic St Ste 201, Foxboro, MA 02035-2072
Phone Number
508-281-9373
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 1, 2016
Last Update Date
January 6, 2020
Certification Date
January 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
38 Mechanic St Ste 201
Foxboro, MA 02035-2072
Zip
02035-2072
Phone Number
508-281-9373
Foxboro, MA 02035Get directions →

Provider Business Mailing Address Details

Address
100 Randall RD Unit 439
Wrentham, MA 02093-7023
City
Wrentham
State
MA
Zip
02093-7023
Phone Number
508-281-9373

License Information

License Number
122351
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Matthew Blakely, LICSW?

The NPI number of Matthew Blakely, LICSW is 1043668908. It was assigned on June 1, 2016 and is currently active in the NPPES registry.

What is the specialty of Matthew Blakely, LICSW?

Matthew Blakely, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 122351.

Where does Matthew Blakely, LICSW practice?

The practice location is 38 Mechanic St Ste 201, Foxboro, MA 02035-2072. The office can be reached at 508-281-9373 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043668908 directly on the NPPES registry website.

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