1209Therapy

Organization Active NPI Clinical Social Worker · Watertown, MA

NPI 1861291304 · NPPES record last updated Jul 31, 2026

Key facts

NPI
1861291304
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
1209THERAPY
Practice address
6 Bates Rd E Unit 2
Watertown, MA 02472-3422
Phone
(612) 751-1763
NPI assigned
Mar 8, 2025
Organization subpart
No

Authorized official

Name
Anastasia Riabokin, LCSW
Title
Owner/Clinician
Phone
(612) 751-1763

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

6 Bates Rd E Unit 2
Watertown, MA 02472-3422

Mailing address

6 Bates Rd E Unit 2
Watertown, MA 02472-3422
Phone (612) 751-1763

Other providers in Watertown, MA

All providers in Watertown, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.