JESSICA ANN MATOS (NPI# 1073917787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073917787 |
| Entity Type | Individual |
| Full Name | JESSICA ANN MATOS |
| Other Name | JESSICA ANN MELLO |
| Credential | LCSW |
| Practice Address |
15 Bolton Pl Brockton MA 02301-5316 |
| Mailing Address |
32 Wellesley Dr Somerset MA 02726-3127 |
| Practice Telephone | 5084274383 |
| Practice Fax Number | 5085844328 |
| Mailing Telephone | 5085589884 |
| Mailing Fax Number | 7748881053 |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
220143 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306479399 | Jessica Matos | Nurse Practitioner | 2120 Sarno Rd, Melbourne, FL 32935-3084 | 2020-02-18 |
| 1922655406 | Jessica Nicole Matos | Art Therapist | 3400 Hunters Creek Blvd, Orlando, FL 32837-7230 | 2019-08-20 |
| 1699125997 | Jessica Matos | Social Worker | 334 E 148th St, Bronx, NY 10451-5707 | 2016-06-16 |
| 1447612445 | Jessica Matos | Social Worker | 655 Broadway, Paterson, NJ 07514-1923 | 2016-03-28 |
| Street Address |
15 BOLTON PL |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-5316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104026749 | Doreen Germaine Souza | Social Worker | 15 Bolton Pl, Brockton, MA 02301-5316 | 2007-07-23 |
| 1205223963 | Sarah Stewart | Social Worker | 15 Bolton Pl, Ymca Mental Health Clinic, Brockton, MA 02301-5316 | 2015-04-21 |
| 1710301726 | Ciara Mendes | Student in an Organized Health Care Education/Training Program | 15 Bolton Pl, Brockton, MA 02301-5316 | 2014-02-11 |
| 1437589694 | Allison Daley | Social Worker | 15 Bolton Pl, Brockton, MA 02301-5316 | 2013-11-25 |
| 1770831133 | Leslie Sattler | Social Worker | 15 Bolton Pl, Brockton, MA 02301-5316 | 2012-08-16 |
| 1073869541 | Kimberly Ann Wensley | Social Worker | 15 Bolton Pl, Brockton, MA 02301-5316 | 2012-08-02 |
| 1023372976 | Melissa Jane Moran | Social Worker | 15 Bolton Pl, Brockton, MA 02301-5316 | 2012-06-26 |
| 1760740369 | Joanne Lynn Mathews | Social Worker | 15 Bolton Pl, Brockton, MA 02301-5316 | 2012-05-02 |
| 1154624740 | Jane Morse | Counselor | 15 Bolton Pl, Brockton, MA 02301-5316 | 2010-12-21 |
| 1982906061 | Amy Raff | Social Worker | 15 Bolton Pl, Brockton, MA 02301-5316 | 2010-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| 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 |
|---|---|---|---|---|
| 1003414335 | Trinette Stephenson Hall | Social Worker | 29 Belcher Ave, Brockton, MA 02301-4103 | 2020-10-09 |
| 1700349305 | Carolyn M Mccrosson | Social Worker | 147 Centre St Apt 609, Brockton, MA 02302-2777 | 2019-04-10 |
| 1134681109 | Malaka Mims | Social Worker | 55 Perry Ave, Brockton, MA 02302-3606 | 2019-04-01 |
| 1609331131 | Therapie LLC | Social Worker | 425 Pleasant 9t., Brockton, MA 02301-2535 | 2019-02-08 |
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1073098059 | Deborah M Rose | Social Worker | 20 Cerel Cir, Brockton, MA 02302-1929 | 2018-09-26 |
| 1811472772 | Cathleen Ann Saunders | Social Worker | 232 Bates Rd, Brockton, MA 02302-3013 | 2018-09-26 |
| 1760964043 | Anna Daniels | Social Worker | 235 N Pearl St Unit 4b, Brockton, MA 02301-1794 | 2018-09-03 |
| 1033690607 | Beverly Ruth Hubler | Social Worker | 567 Pleasant St Ste 101, Brockton, MA 02301-2507 | 2018-08-22 |
| Find all providers in BROCKTON | ||||
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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.