FAITH BLAIR LICSW
NPI 1891471033
Counselor - School in Wareham, MA

Active since June 23, 2023PECOS Enrolled
4 VIKING DR, WAREHAM, MA 02571(508) 291-3550 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Faith Blair Licsw NPPES

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

FAITH BLAIR LICSW (NPI 1891471033) is an individual school provider in Wareham, Massachusetts and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891471033
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameFAITH BLAIRCredential: LICSW
Location Address4 VIKING DRWareham, MA 02571-1467
Mailing Address12 Trinas PathPlymouth, MA 02360-4729 · (949) 874-3353
Sole ProprietorYes
Enumeration DateJune 23, 2023
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
NPI 1891471033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4 VIKING DR, Wareham, MA 02571

Secondary Practice Locations 2

Location 161 Industrial Park Rd Ste 1Plymouth, MA 02360-7246 · Phone (508) 830-1234
Location 268 N Front StNew Bedford, MA 02740-7327 · Phone (508) 717-0550

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Faith Blair Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

Counselor (School)
4 VIKING DR
WAREHAM, MA 02571
Counselor (School)
4 VIKING DR
WAREHAM, MA 02571

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891471033, enumerated as an "individual" on June 23, 2023.

The provider is located at 4 VIKING DR WAREHAM, MA 02571 and the phone number is (508) 291-3550.

Counselor with taxonomy code 101YS0200X and a focus in School.