Lisa Boselli

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116299 Issued in MA

Practice address

35 Deer Run Dr
East Bridgewater, MA 02333-1669

Phone

(774) 219-1632

NPI assigned

Nov 21, 2008

Last updated

Jan 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hope Wellness Center, LLCGroup PAC ID 1254866007, 3 clinicians

Healthdrive Behavioral Health Services, PLLCGroup PAC ID 8729345822, 89 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthdrive Behavioral Health Services, PLLC

  • Geriatric Psychiatry Physician
  • Middletown, CT
  • NPI 1760909279

  Clinical, MA

  Medicare reassignment Care Compare group NPD
• Hope Wellness Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport, RI
  • NPI 1033800230

  MA

  Medicare reassignment Care Compare group NPD
• Eliot Community Human Services

  dba Eliot Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord, MA
  • NPI 1679648182
  Medicare reassignment NPD
• LB Counseling and Supervision LLC

  • Community/Behavioral Health Agency
  • East Bridgewater, MA
  • NPI 1447116892
  NPD Authorized official
• Eliot Community Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lexington, MA
  • NPI 1932271632
  NPD
• East Bay Psychological Services LLC

  • Clinical Psychologist
  • Providence, RI
  • NPI 1790662732
  NPD (past)

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1487809125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DEER RUN DR",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331669",
            "telephone_number": "774-219-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DEER RUN DR",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331669",
            "telephone_number": "774-219-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSELLI",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04274",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW1766",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "214448",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth C. Hean, Licsw LLC (Beth C. Hean, LICSW)
• Dyan Bhatia, M.D.
• Beth Boersdamm
• Miranda Bohl
• Jill Bolger, OTR
• Nicole Bowen
• Samantha Bradshaw, LMHC
• Lori A Brightman, PT
• Brockton Hospital, Inc. (Signature Healthcare Pharmacy - EB)
• Brockton Hospital, Inc. (Signature Healthcare Pharmacy-EB)

• Clinical Social Worker in East Bridgewater, MA
• Providers in East Bridgewater, 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 Jan 13, 2025; 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.

Verify at the official NPI Registry.