Theresa Blackman
NPI 1669921482ActiveIndividual· Social Worker, Clinical· Medford, MA
Social Worker, Clinical with Fenway Community Health Center, Inc, practicing in Medford, Massachusetts. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1669921482 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 22, 2016 |
| Last updated in NPPES | Sep 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MA) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Fenway Community Health Center, IncBoston, MA · 83 clinicians
Other Social Worker, Clinical providers in Medford
- 1184377111
- 1295923605
- 1023830775
- 1790610152
- 1700754769
- 1427637214
- 1518164508
- 1316080476
- 1427287853
- 1932680840
- 1740164078
- 1538214176