Andrea Mattisen is a Clinical in Boston, Massachusetts. Andrea Mattisen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrea Mattisen is 1912034760. The last update date is 2007-07-08.
Andrea Mattisen's current location address is 162 Commercial St, Boston, Massachusetts. You can contact this provider via phone number 6177422270 and fax number 6177422270. The mailing address for Andrea Mattisen is 162 Commercial St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Andrea Mattisen |
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Address | 162 Commercial St, Boston, Massachusetts |
Phone Number | 6177422270 |
Fax Number | 6177422270 |
Sole Proprietor | Y |
Credentials | LICSW BCD |
NPI Number Detail
NPI Number | 1912034760 |
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Provider Enumeration Date | 2007-02-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 162 Commercial St |
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City | Boston |
State | Massachusetts (MA) |
Post Code | 21091332 |
Phone Number | 6177422270 |
Fax Number | 6177422270 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 101700 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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101700 | MA | LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Andrea Mattisen?
The Andrea Mattisen has been issued the NPI (National Provider Identifier) 1912034760 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Andrea Mattisen?
The Andrea Mattisen is situated at 162 Commercial St, in the city of Boston, state of MA, with the zip code 21091332.
What is Andrea Mattisen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Andrea Mattisen is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Andrea Mattisen receive the assignment of its 1912034760 from the Centers for Medicare & Medicaid Services?
The Andrea Mattisen was issued its 1912034760 by the Centers for Medicare & Medicaid Services on 2007-02-28.
As of what date was the information pertaining to Andrea Mattisen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Andrea Mattisen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.