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THERESA BLACKMAN
NPI 1669921482
Social Worker - Clinical in Medford, MA

Active since September 22, 2016PECOS EnrolledAccepts Medicare Assignment
22 VALLEY ST, MEDFORD, MA 02155(617) 935-3147 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Theresa Blackman NPPES

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

THERESA BLACKMAN (NPI 1669921482) is an individual clinical provider in Medford, Massachusetts and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669921482
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHERESA BLACKMAN
Location Address22 VALLEY STMedford, MA 02155-2521
Mailing Address22 Valley StMedford, MA 02155-2521
Phone(617) 935-3147
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 22, 2016
✔ NPI 1669921482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
22 VALLEY ST, Medford, MA 02155
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Blackman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082154158
PECOS Enrollment IDI20240904004181
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Theresa Blackman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fenway Community Health Center, Inc
5.7 mi
Federally Qualified Health Center (FQHC)
1340 BOYLSTON ST
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 88 clinicians in this Medicare group
NPI 1003804725 (617) 927-4880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Theresa Blackman's NPI number?

The NPI number for Theresa Blackman is 1669921482. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Theresa Blackman located?

Theresa Blackman practices at 22 Valley St, Medford, MA 02155. The listed phone number is (617) 935-3147.

What is Theresa Blackman's specialty?

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

Is Theresa Blackman enrolled in Medicare?

Yes. Theresa Blackman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Theresa Blackman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Blackman reassigns Medicare benefits to Fenway Community Health Center, Inc (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Blackman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Blackman accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Theresa Blackman 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 Theresa Blackman was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.