Individual provider Active NPI

Rachel Freyja Bedick, MSW

  • Clinical Social Worker
  • Chelsea, MA
National Provider Identifier
1447699376
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
219096 Issued in MA
Practice address
151 Everett Ave
Chelsea, MA 02150-1812
Phone
(617) 887-3861
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 219096 MA Primary

Addresses

Primary practice location

151 Everett Ave
Chelsea, MA 02150-1812

Mailing address

1 Belmont SQ
#2
Somerville, MA 02143-2505
Phone (401) 499-8520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 26, 2024 through Jan 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
219096MAMDHospitalist Physician

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1447699376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BELMONT SQ",
            "address_2": "#2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432505",
            "telephone_number": "401-499-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 EVERETT AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021501812",
            "telephone_number": "617-887-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDICK",
        "first_name": "RACHEL",
        "middle_name": "FREYJA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "219096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

Verify at the official NPI Registry.