Gwendolyn M. Vincent, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

774 Albany St
Boston, MA 02118-2520

Phone

(617) 534-6171

NPI assigned

Sep 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Priority Professional Care, LLC

  • Clinic/Center
  • Dorchester, MA
  • NPI 1346486529
  NPD (past)
• Priority Professional Care,LLC

  • Foster Care Agency
  • Mattapan, MA
  • NPI 1477970218
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437408374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182600",
            "telephone_number": "617-419-3408",
            "fax_number": "617-534-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182520",
            "telephone_number": "617-534-6171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1613 Blule Hill Avenue Suite 302",
            "address_purpose": "LOCATION",
            "city": "Mattapan",
            "state": "MA",
            "postal_code": "021262123",
            "country_code": "US",
            "telephone_number": "857-598-4774",
            "fax_number": "857-598-4816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "GWENDOLYN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Vincelette, D.M.D.
• Gwendolyn Vincent Gerome
• Vincent J Morgan DMD PC
• Charlotte Ann Vincent, FNP-BC
• Christine Rita Vincent
• Jennison Vincent, ATC, LAT
• Jonathan Kendall Vincent, M.D.
• Julie Vincent
• Lawrence Marc Vincent, MD
• Samantha B Vincent, CPNP

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.