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

Theresa Blackman

Individual provider Clinical Social Worker · NPI 1669921482

Theresa Blackman is a Clinical Social Worker in Medford, Massachusetts. Qualified in 2018, 8 years ago. Practices with Fenway Community Health Center, Inc, a 81-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2016
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Practice location Address checks out

22 Valley St
Medford, MA 02155-2521
Phone: (617) 935-3147
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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

Record details

NPI number1669921482
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2016
Last updated in NPPESSeptember 22, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Fenway Community Health Center, Inc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Medford