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MENTAL HEALTH MATTERS PRACTICE PLLC NPI 1356052641


NPI Information

NPI: 1356052641
Provider Name: MENTAL HEALTH MATTERS PRACTICE PLLC

Doing Business As: ELLIE MENTAL HEALTH

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
875 MASSACHUSETTS AVE STE 4
CAMBRIDGE, MA
ZIP 02139
Phone: (617) 812-1697
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MENTAL HEALTH MATTERS PRACTICE PLLC is a clinical social worker in Cambridge, MA. The provider is 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. MENTAL HEALTH MATTERS PRACTICE PLLC NPI is 1356052641. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ellie Mental Health.

The provider's business location address is:

875 MASSACHUSETTS AVE STE 4
CAMBRIDGE, MA
ZIP 02139-067
Phone: (617) 812-1697
Fax: (617) 812-1697

The provider's authorized official is Kayley Walsh .
The authorized official title is Clinical Director and has the following contact phone number (781) 835-5733.

The enumeration date for this NPI number is 12/8/2022 and was last updated on 3/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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