KATIE A BLINN LICSW
NPI 1336529916
Social Worker - Clinical in Brockton, MA

Active since June 09, 2015Opted out of Medicare · through Dec 13, 2026
103 COMMERCIAL ST, BROCKTON, MA 02302(508) 580-4691 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2021, May 9, 2018 (2 updates tracked since 2018).

About Katie A Blinn Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE A BLINN LICSW (NPI 1336529916) is an individual clinical provider in Brockton, Massachusetts, licensed in Massachusetts (121058) and active in the NPI registry since June 2015. She has opted out of Medicare through December 13, 2026 and maintains a secondary practice location in Nashua.

NPPES Registry Identity

NPI1336529916
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATIE A BLINNCredential: LICSW
Location Address103 COMMERCIAL STBrockton, MA 02302-3133
Mailing Address103 Commercial StBrockton, MA 02302-3101 · (508) 521-1020
Sole ProprietorNo
Enumeration DateJune 9, 2015
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
NPI 1336529916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 121058
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

103 COMMERCIAL ST, Brockton, MA 02302

Secondary Practice Location 1

Location 115 Prospect StNashua, NH 03060-3923 · Phone (603) 889-6147

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Katie A Blinn Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 13, 2024 through December 13, 2026.

Opt-Out Effective DateDecember 13, 2024
Opt-Out In Effect ThroughDecember 13, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
103 COMMERCIAL ST, 2ND FLOOR
BROCKTON, MA 02302
Counselor (Mental Health)
103 COMMERCIAL ST
BROCKTON, MA 02302
Social Worker (Clinical)
103 COMMERCIAL ST
BROCKTON, MA 02302
Case Manager/Care Coordinator
103 COMMERCIAL ST
BROCKTON, MA 02302
Marriage & Family Therapist
103 COMMERCIAL ST
BROCKTON, MA 02302
Counselor (Mental Health)
103 COMMERCIAL ST
BROCKTON, MA 02302
Student in an Organized Health Care Education/Training Program
103 COMMERCIAL ST
BROCKTON, MA 02302
Counselor (Addiction (Substance Use Disorder))
103 COMMERCIAL ST
BROCKTON, MA 02302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Blinn's NPI number?

The NPI number for Katie Blinn is 1336529916. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Katie Blinn located?

Katie Blinn practices at 103 Commercial St, Brockton, MA 02302. The listed phone number is (508) 580-4691.

What is Katie Blinn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Katie Blinn enrolled in Medicare?

No. Katie Blinn has opted out of Medicare through December 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Katie Blinn accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Katie Blinn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katie Blinn was last updated on April 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.