Gerald Dimatteo, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104527 Issued in MA

Practice address

5 Pine Ridge Rd
Wellesley, MA 02481-1622

Phone

(781) 335-6000

Fax

(781) 340-5358

NPI assigned

Oct 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Atlantic Counseling and Consultation, IncGroup PAC ID 9335125947, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlantic Counseling and Consultation, Inc

  • Psychologist
  • South Weymouth, MA
  • NPI 1285729004
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013006675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PINE RIDGE RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811622",
            "telephone_number": "781-335-6000",
            "fax_number": "781-340-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PINE RIDGE RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811622",
            "telephone_number": "781-335-6000",
            "fax_number": "781-340-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMATTEO",
        "first_name": "GERALD",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermwellesley LLC
• Vincent Desantis, M.D.
• Laura Winchelle Desir, OTR/L
• Judy Destefano
• Justin Dichio, PT, DPT
• Maureen E Dimeo, RN
• Tevyah J Dines, D.M.D., M.M.SC.
• Weihua Ding, O.D.
• Svetlin H Dinovski, M.D.
• Barbara Helen Dion, RDH

• Clinical Social Worker in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.