Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew J Coughlin, LICSW

Individual provider Social Worker · NPI 1376290593

Matthew J Coughlin, LICSW is a Clinical Social Worker in Fall River, Massachusetts. Qualified in 2020, 6 years ago. Practices with Greater New Bedford Community Health Center Inc, a 49-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2022
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

386 Stanley St
Fall River, MA 02720-6009
Phone: (508) 679-5222
Fax: (508) 673-3182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LICSW128226 (MA)
Social Worker Taxonomy 104100000X · Licence 226906 (MA)

Record details

NPI number1376290593
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 8, 2022
Last updated in NPPESJuly 26, 2024
Certification dateJuly 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Greater New Bedford Community Health Center Inc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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