Individual provider Active NPI

Rebecca Gessow, LICSW

  • Clinical Social Worker
  • Charlestown, RI
National Provider Identifier
1255493904
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00964 Issued in RI
Practice address
4705A Old Post Rd
Charlestown, RI 02813-1819
Phone
(401) 364-7705
Fax
(401) 364-9104
NPI assigned
Dec 15, 2006
Reactivated
Mar 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW00964 RI Primary
Clinical Social Worker 1041C0700X 107686 MA

Addresses

Primary practice location

4705A Old Post Rd
Charlestown, RI 02813-1819

Mailing address

4705A Old Post Rd
Charlestown, RI 02813-1819
Phone (401) 364-7705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20051022000227 RI Practitioner - Clinical Social Worker 3173549755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
69.09 of 100Reported as group
Quality
73.07
Promoting interoperability
0
Improvement activities
40
Cost
73.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW00964RIMDClinical Social Worker
107686MAMDSonography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care I of Rhode Island PC CurrentSince Nov 12, 2023 Accepting new patients
Jewish Collaborative Services CurrentSince Mar 9, 2023 Accepting new patients
South Shore Center Inc Clinical PastSince Dec 21, 2009 Accepting new patients
The Providence Center Inc Clinical Past Accepting new patients
The Providence Center Past Accepting new patients
Gateway Healthcare Inc PastSince Jul 1, 2013 Accepting new patients
Christine Richards LLC PastSince Jul 1, 2021 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1165 N Main St
Providence, RI 02904
Phone (401) 331-1244

75 Newman Ave
Ste 100
Rumford, RI 02916

Organizations & group practices 7

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1255493904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705A OLD POST RD",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028131819",
            "telephone_number": "401-364-7705",
            "fax_number": "401-364-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705A OLD POST RD",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028131819",
            "telephone_number": "401-364-7705",
            "fax_number": "401-364-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESSOW",
        "first_name": "REBECCA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-03-05",
        "deactivation_date": "2025-01-23",
        "reactivation_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00964",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "107686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, RI

Sources for this page

Verify at the official NPI Registry.