Active NPI
Anthony Gacita Vinson, L.I.C.S.W
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1346627197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 116338
- Practice address
- 243 Charles St
Boston, MA 02114 - Phone
- (617) 573-3542
- Fax
- (617) 573-3522
- NPI assigned
- Apr 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 116338 | MA | Primary |
Addresses
Primary practice location
243 Charles St
Boston, MA 02114
Mailing address
243 Charles St
Boston, MA 02114-3096
Phone (617) 442-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4635 Southwest Fwy
Suite 635
Houston, TX 77027-7112
Phone 71385000491053
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66821 | TX | MD | Professional Counselor |
| 116338 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychological Care Sa I, LLC | Clinical | Current | Accepting new patients |
Locations
11127 Circle Dr
Austin, TX 78736
Phone (512) 288-8844
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777
5027 Pecan Grove Blvd
San Antonio, TX 78222
Phone (210) 333-6815
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": "1430352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1346627197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 CHARLES ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143096",
"telephone_number": "617-442-8800",
"fax_number": "617-442-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 CHARLES ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-573-3542",
"fax_number": "617-573-3522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINSON",
"first_name": "ANTHONY",
"middle_name": "GACITA",
"name_prefix": "Mr.",
"credential": "L.I.C.S.W",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-30",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "116338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.