Active NPI
Geoffrey Cushner, M.S.W.
- Social Worker
- Worcester, MA
National Provider Identifier
1063836997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revidas LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.