Individual provider Active NPI

Geoffrey Cushner, M.S.W.

  • Social Worker
  • Worcester, MA
National Provider Identifier
1063836997
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
108 Grove St
Ste LL11
Worcester, MA 01605-2677
Phone
(508) 304-7499
Fax
(774) 420-7255
NPI assigned
Feb 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

108 Grove St
Ste LL11
Worcester, MA 01605-2677

Mailing address

108 Grove St Ste LL11
Worcester, MA 01605-2677
Phone (508) 304-7499

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161024001768 MA Practitioner - Clinical Social Worker 2769760933 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revidas LLC CurrentSince Oct 6, 2024 Accepting new patients

Locations

108 Grove St
Ste LL11
Worcester, MA 01605
Phone (413) 200-8844

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1063836997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 GROVE ST STE LL11",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052677",
            "telephone_number": "508-304-7499",
            "fax_number": "774-420-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GROVE ST",
            "address_2": "STE LL11",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052677",
            "telephone_number": "508-304-7499",
            "fax_number": "774-420-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSHNER",
        "first_name": "GEOFFREY",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-12",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.