Individual provider Active NPI

Bernard Scott, LICSW PSYD

  • Social Worker
  • Jamaica Plain, MA
National Provider Identifier
1154526606
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1027112 Issued in MA
Practice address
441 Centre Street
Jamaica Plain, MA 02130
Phone
(617) 522-8086
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1027112 MA Primary

Addresses

Primary practice location

441 Centre Street
Jamaica Plain, MA 02130

Mailing address

198 Highland St
#1
Roxbury, MA 02119
Phone (617) 543-0655

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
I20090504000261 MA Practitioner - Clinical Social Worker 4789732686 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arbour IncGroup PAC ID 6800975574, 19 clinicians
Clarity of Mind Mental HealthGroup PAC ID 3476916750, 2 clinicians

Practice addresses (Care Compare)

157 Green St
Jamaica Plain, MA 02130-2667
Phone (617) 390-1362

49 Robinwood Ave
Boston, MA 02130-2156
Phone (617) 522-4400

500 N Main St
Suite a
Randolph, MA 02368-6700
Phone (781) 885-0468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arbour Inc CurrentSince Dec 11, 2020 Accepting new patients
Arbour Inc CurrentSince Dec 11, 2020 Accepting new patients
Clarity of Mind Mental Health CurrentSince Oct 3, 2024 Accepting new patients
Boston Evening Therapy Associates, LLC Social Worker CurrentSince Jun 2, 2013 Accepting new patients
Volunteers of America of Massachusetts Inc Past Accepting new patients
Volunteers of America of Massachusetts Inc Past Accepting new patients

Locations

7 Kent St
Brookline, MA 02445
Phone (617) 730-4344

49 Robinwood Ave
Jamaica Plain, MA 02130
Phone (617) 390-1204

246 Walnut St
Ste 104
Newtonville, MA 02460
Phone 6172443322104

500 N Main St
Ste A
Randolph, MA 02368
Phone (781) 885-0468

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/voamass/r4/

Organizations & group practices 6

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154526606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 HIGHLAND ST",
            "address_2": "#1",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "02119",
            "telephone_number": "617-543-0655",
            "fax_number": "617-442-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 CENTRE STREET",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "617-522-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "BERNARD",
        "credential": "LICSW PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "1027112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

Verify at the official NPI Registry.