Matthew Blakely, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122351 Issued in MA

Practice address

38 Mechanic St Ste 201
Foxboro, MA 02035-2072

Phone

(508) 281-9373

NPI assigned

Jun 1, 2016

Last updated

Jan 6, 2020By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Handel Behavioral Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Franklin, MA
  • NPI 1497353130

  Counselor

  NPD (past)

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1043668908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RANDALL RD UNIT 439",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020937023",
            "telephone_number": "508-281-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MECHANIC ST STE 201",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352072",
            "telephone_number": "508-281-9373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Washington St",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020623487",
            "country_code": "US",
            "telephone_number": "781-278-6554",
            "fax_number": "781-278-6882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKELY",
        "first_name": "MATTHEW",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Patrick Bentz, DC
• Eric M Berkson, MD
• Leslie A Berman, M.ED., CCC-SLP
• Susan M Bernen, FNP-BC
• BL Healthcare Inc Deleware (BL Healthcare, Inc.)
• Maureen Blinten
• Maranda A Bliss, D.M.D.
• Earl Bombard IV
• Donna L Bradley, RPT
• Renee Brien

• Clinical Social Worker in Foxboro, MA
• Providers in Foxboro, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.