MRS. REBECCA JEAN FAHERTY (NPI# 1699860148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699860148 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA JEAN FAHERTY |
| Credential | LICSW, LADC1, C-SWHC |
| Practice Address |
940 Belmont Street Brockton MA 02601 |
| Practice Telephone | 5085834500 |
| Practice Fax Number | 7748262073 |
| Mailing Telephone | 5085834500 |
| Mailing Fax Number | 7748262073 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1100 | MA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
114617 | MA | Behavioral Health & Social Service Providers |
| Street Address |
940 BELMONT STREET |
| City | BROCKTON |
| State | MA |
| Zip Code | 02601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699739284 | Thomas Haines Dickinson | Internal Medicine | 940 Belmont Street, Va Boston Healthcare System Brockton Division, Brockton, MA 02301 | 2006-04-12 |
| 1245869338 | Justine Lazatin | Student in an Organized Health Care Education/Training Program | 940 Belmont Street, Psychiatry 116a7, Brockton, MA 02301 | 2020-04-02 |
| 1952861130 | Shawn Shiyang Jin | Student in an Organized Health Care Education/Training Program | 940 Belmont Street, Psychiatry 116a7, Brockton, MA 02301 | 2019-03-22 |
| 1720582190 | Kevin William Cates | Student in an Organized Health Care Education/Training Program | 940 Belmont Street, Psychiatry 116a7, Brockton, MA 02301 | 2018-03-21 |
| 1902286859 | Abbey Sereno | Social Worker | 940 Belmont Street, Brockton, MA 02301 | 2015-06-05 |
| 1225383961 | Boston Va Hospital | General Acute Care Hospital | 940 Belmont Street, Boston Va Healthcare System, Brockton, MA 02301 | 2012-07-18 |
| 1891938528 | Amy Wisteria Baughman | Internal Medicine | 940 Belmont Street, Veterans Affairs Boston Healthcare System, Brockton, MA 02301 | 2009-04-10 |
| 1891930178 | David Topor | Psychologist | 940 Belmont Street, Buidling 22, Brockton, MA 02301 | 2008-12-15 |
| 1548415524 | Jennie Kathleen Lindsay-kelley | Social Worker | 940 Belmont Street, Brockton, MA 02301 | 2008-11-18 |
| 1114057650 | Elena B Nikolskaia | Psychiatry & Neurology | 940 Belmont Street, Brockton Va Medical Center, Brockton, MA 02401 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987606 | Teodora Veleva | Developmental Therapist | Kennedy Donovan Cape & Islands Early Intervention, 80 Pearl Street, Hyannis, MA 02601 | 2019-11-21 |
| 1184108912 | Erin Lee Rindfuss | Social Worker | 10 Independence Drive, Hyannis, MA 02601 | 2018-09-18 |
| 1487170312 | Emg Laboratory, LLC | Psychiatry & Neurology | 51 Main St Ste 6, Hyannis, MA 02601 | 2017-08-22 |
| 1528597804 | Kaydian Karyl Roberts | Behavioral Analyst | 767 Independence Dr, Apt D101, Hyannis, MA 02601 | 2017-06-08 |
| 1801338801 | Catherine Ode | Counselor | 29 Bassett Lane, Family Continuity, Hyannis, MA 02601 | 2016-11-08 |
| 1558721191 | Harbor Health Services Inc | Clinic/Center | 735 Attucks Lane, Hyannis, MA 02601 | 2016-02-24 |
| 1285014928 | Genesis Rehab Services | Skilled Nursing Facility | 118 Wayland Road, Hyannis, MA 02601 | 2015-06-08 |
| 1164858742 | Ann Alexander Ms Rdn Lrd LLC | Dietitian, Registered | 500 Ocean St. #39, Hyannis, MA 02601 | 2013-09-16 |
| 1295089803 | Janis Sommers | Mechanotherapist | 677 West Main Street, Harwich, MA 02601 | 2012-11-05 |
| 1962797167 | Douglas Mason | Counselor | 889 West Main St., Hyannis, MA 02601 | 2011-06-15 |
| Find all providers in zip 02601 | ||||
| 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.