Active NPIOrganization

1209THERAPY

Social Worker, Clinical in Watertown, Massachusetts

NPI Number1861291304
Practice location
6 Bates RD E Unit 2, Watertown, MA 02472-3422
Fax
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Last updated
July 31, 2026

1209THERAPY is a healthcare organization based in Watertown, MA. 1209THERAPY practices in Watertown, MA. The NPI Number for 1209THERAPY is 1861291304. The current practice location address for 1209THERAPY is 6 Bates RD E Unit 2, Watertown, MA 02472-3422 and can be reached out via phone at 612-751-1763.

Provider Profile Details

NPI Number
1861291304
Provider Name
1209THERAPY
Provider Entity Type
Organization
Address
6 Bates RD E Unit 2, Watertown, MA 02472-3422
Phone Number
612-751-1763
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Anastasia Riabokin, LCSW · Owner/Clinician · 612-751-1763
Provider Enumeration Date
March 8, 2025
Last Update Date
July 31, 2026
Certification Date
July 31, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Bates RD E Unit 2
Watertown, MA 02472-3422
Zip
02472-3422
Phone Number
612-751-1763
Watertown, MA 02472Get directions →

Provider Business Mailing Address Details

Address
6 Bates RD E Unit 2
Watertown, MA 02472-3422
City
Watertown
State
MA
Zip
02472-3422
Phone Number
612-751-1763

License Information

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 1209THERAPY?

The NPI number of 1209THERAPY is 1861291304. It was assigned on March 8, 2025 and is currently active in the NPPES registry.

What is the specialty of 1209THERAPY?

1209THERAPY is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does 1209THERAPY practice?

The practice location is 6 Bates RD E Unit 2, Watertown, MA 02472-3422. The office can be reached at 612-751-1763 (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 1861291304 directly on the NPPES registry website.

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