Active NPI
Matthew McKie, LICSW
- Clinical Social Worker
- Arlington, MA
National Provider Identifier
1750051686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 125428
- Practice address
- 17 Brattle St Apt 12
Arlington, MA 02476-4324 - Phone
- (678) 459-4104
- NPI assigned
- Sep 13, 2021
- Last updated
- Aug 31, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 125428 | MA | Primary |
Addresses
Primary practice location
17 Brattle St Apt 12
Arlington, MA 02476-4324
Mailing address
17 Brattle St Apt 12
Arlington, MA 02476-4324
Phone (678) 459-4104
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 |
|---|---|---|---|
| 125428 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1750051686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 BRATTLE ST APT 12",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764324",
"telephone_number": "678-459-4104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 BRATTLE ST APT 12",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764324",
"telephone_number": "678-459-4104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKIE",
"first_name": "MATTHEW",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-13",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "125428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
- Virginia B McCrae, PSY.D.
- Madeleine Mercun McGuire
- Janice McInnes, P.T.
- Judith A McKenna
- Wendy McKernon, PH.D.
- Amber D'Amore McMahon, LMHC
- Leanne Grace McNall, RN
- Medford Visiting Nursing Association
- Medford Visiting Nursing Association (Greater Medford Visiting Nursing Association)
- Meeting You Therapy, PLLC (Meeting You Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.