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ANDREA MATTISEN LICSW BCD
NPI 1912034760
Social Worker - Clinical in Boston, MA

Active since February 28, 2007
162 COMMERCIAL ST, BOSTON, MA 02109(617) 742-2270(617) 742-2270 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Mattisen Licsw Bcd NPPES

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

ANDREA MATTISEN LICSW BCD (NPI 1912034760) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (101700) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1912034760
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANDREA MATTISENCredential: LICSW BCD
Location Address162 COMMERCIAL STBoston, MA 02109-1332
Mailing Address162 Commercial StBoston, MA 02109-1332 · (617) 742-2270 · Fax (617) 742-2270
Phone(617) 742-2270
Fax(617) 742-2270
Sole ProprietorYes
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912034760 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 · 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, 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.
162 COMMERCIAL ST, Boston, MA 02109
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Other Identifiers 1

Other101700MA · License

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 Andrea Mattisen's NPI number?

The NPI number for Andrea Mattisen is 1912034760. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Andrea Mattisen located?

Andrea Mattisen practices at 162 Commercial St, Boston, MA 02109. The listed phone number is (617) 742-2270.

What is Andrea Mattisen's specialty?

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

When was this NPI record last updated?

The NPPES record for Andrea Mattisen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.