MR. SCOTT THOMAS BLEAKLEY (NPI# 1013072008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013072008 |
| Entity Type | Individual |
| Full Name | MR. SCOTT THOMAS BLEAKLEY |
| Credential | LICSW |
| Practice Address |
163 Water Street Exeter NH 03833 |
| Mailing Address |
28 Ladd Road Brentwood NH 03833 |
| Practice Telephone | 6037721228 |
| Practice Fax Number | 6037782770 |
| Mailing Telephone | 6033471119 |
| Mailing Fax Number | 6037782770 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
111295 | MA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1071 | NH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | P08033 | 01 |
| NH | 30423171 | 05 | |
| NH | BCBS | 144001431NH02 | 01 |
| Street Address |
163 WATER STREET |
| City | EXETER |
| State | NH |
| Zip Code | 03833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023238763 | Derek Alan Stern | Psychologist | 163 Water Street, Exeter, NH 03833-2424 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568848836 | Leanora Legrand | Social Worker | 10 Hilliard Road, Kensington, NH 03833 | 2015-08-10 |
| 1861890691 | Jennifer Thomas | Nurse Practitioner | 5 Alumni Drv., Exeter Hospital, Exeter, NH 03833 | 2014-12-10 |
| 1578962791 | Through The Trees: Communication Center for Children and Adults | Speech-Language Pathologist | 175 Drinkwater Rd, Kensington, NH 03833 | 2014-08-14 |
| 1225318579 | Bernadette M Blake | Social Worker | 23 Oak Street, Exeter, NH 03833 | 2011-08-18 |
| 1710295746 | Carl Matthew Boscketti | Dentist | 193 High St., Exeter, NH 03833 | 2010-09-24 |
| 1750515870 | Nicole M. Dawson | Chiropractor | 29 Shannon Way, Brentwood, NH 03833 | 2009-05-04 |
| 1841411535 | Diana Lyell I | Specialist | 19 Hampton Road, Exeter, NH 03833 | 2007-05-01 |
| 1922131630 | Ellen Bennett | Physician Assistant | 21 Hampton Rd Bldg 3 Fl 1, Exeter, NH 03833 | 2007-03-13 |
| 1184785289 | J Bruce Bartolini | Internal Medicine | 21 Hampton Rd Bldg. 3, 2nd Fl, Exeter, NH 03833 | 2006-12-12 |
| 1891860847 | Jessica C. Lyons | Marriage & Family Therapist | 30 Linden St Suite B, Exeter, NH 03833 | 2006-11-22 |
| Find all providers in zip 03833 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184268161 | Cedar Grove Counseling and Wellness Center, Pllc | Social Worker | 4a Franklin St, Exeter, NH 03833-2819 | 2019-11-01 |
| 1114570702 | Sujeong Shin Counseling, Pllc | Social Worker | 24 Front St Ste G10, Exeter, NH 03833-2727 | 2019-07-22 |
| 1811406549 | Janet Gorin Pierce | Social Worker | 127 Water St Fl 3, Exeter, NH 03833-2456 | 2017-09-26 |
| 1184017790 | Douglas Stephens Ed D Pllc | Social Worker | 30 Charter St, 10, Exeter, NH 03833-2343 | 2015-03-07 |
| 1720407521 | Harmony H Costopulos | Social Worker | 24 Front St Ste 200, Exeter, NH 03833-2762 | 2014-04-09 |
| 1710224290 | Michele Mcdermott | Social Worker | 1251 Wyoming Ave, Exeter, PA 18643-1434 | 2013-01-03 |
| 1225318579 | Bernadette M Blake | Social Worker | 23 Oak Street, Exeter, NH 03833 | 2011-08-18 |
| 1184952228 | Stephanie Marshall | Social Worker | 7 Nelson Dr, Exeter, NH 03833-2615 | 2009-12-01 |
| 1730362971 | Stephanie B Moniz | Social Worker | 189 Wolf Rock Rd, Exeter, RI 02822-5216 | 2007-12-11 |
| 1497979926 | Erin B Bastian | Social Worker | 29804 Road 210, Exeter, CA 93221-9768 | 2007-04-13 |
| Find all providers in EXETER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.