Active NPI
Cameron Mathieu
- Clinical Social Worker
- Brighton, MA
National Provider Identifier
1235658337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 124019
- Practice address
- 30 Warren Street
Brighton, MA 02136 - Phone
- (617) 254-3800
- NPI assigned
- Sep 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 124019 | MA | Primary |
Addresses
Primary practice location
30 Warren Street
Brighton, MA 02136
Mailing address
39 Murdock St
Brighton, MA 02135-2859
Phone (413) 695-3282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124019 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cameron Counseling Associates | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brookline, MA
- NPI 1407508906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1235658337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 MURDOCK ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352859",
"telephone_number": "413-695-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WARREN STREET",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "02136",
"telephone_number": "617-254-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIEU",
"first_name": "CAMERON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-11",
"last_updated": "2022-01-12",
"certification_date": "2022-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "124019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.