Gregory Bodine
Individual provider Active NPI Clinical Social Worker · Melrose, MA
NPI 1295280394 · NPPES record last updated Apr 12, 2022
Key facts
- NPI
- 1295280394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 122370 (MA)
- Practice address
- 49 Myrtle St
Melrose, MA 02176-3850 - Phone
- (617) 297-9795
- NPI assigned
- Aug 18, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
49 Myrtle St
Melrose, MA 02176-3850
Phone (617) 297-9795
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200128001468 | MA | Practitioner - Clinical Social Worker | 9739515420 | Practice locations: Melrose, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Bodine | Clinical | Current |
Accepting new patients |
Locations
623 Main St
Ste 19
Woburn, MA 01801
Phone (617) 297-9795
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 122370 | MA | Yes |
Addresses
Primary practice location
49 Myrtle St
Melrose, MA 02176-3850
Mailing address
623 Main St Ste 19
Woburn, MA 01801-2983
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110157695A | Medicaid | MA |
Other providers in Melrose, MA
- Nehaben Gopalbhai Bhavsar
- Marcia M. Binder
- Samantha Block
- Sarah Bloom
- Julie Ann Blume Oeur
- Mayra Bolden
- Katrina Daigle Borden
- Ilana Bortinger
- Boston Pain Specialist, PC
- Boston Pelvic Physical Therapy
All providers in Melrose, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.