Bettie Gerard, ACSW LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

00575 Issued in RI

Practice address

300 Centerville Road
Summit West Suite 101
Warwick, RI 02886

Phone

(401) 732-4500

Fax

(401) 732-7766

NPI assigned

Oct 19, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Change of Mind LLCGroup PAC ID 4284971672, 6 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.

• Change of Mind LLC

  • Mental Health Counselor
  • Port St Lucie, FL
  • NPI 1811443195
  Medicare reassignment Care Compare group NPD
• West Bay Psychiatric Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warwick, RI
  • NPI 1568543361
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528140811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTERVILLE ROAD",
            "address_2": "SUMMIT WEST SUITE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-732-4500",
            "fax_number": "401-732-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTERVILLE ROAD",
            "address_2": "SUMMIT WEST SUITE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-732-4500",
            "fax_number": "401-732-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARD",
        "first_name": "BETTIE",
        "credential": "ACSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "00575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "407854",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34238",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genoa Healthcare LLC
• Genoa Healthcare of Rhode Island I, LLC (Genoa Healthcare)
• Gentle Chiropractic Center, Inc.
• George J Jacewicz, M. D., Inc
• Gerald W. Glaser, O.D. and Associates, Inc.
• Gershon Psychological Associates, LLC
• Jonathan Gershon, PHD
• Michael Gershon, PH.D.
• Catherine Rachel Gervais, RN, BSN, CDOE
• Shamim Ghadami, CRNA

• Social Worker in Warwick, RI
• Providers in Warwick, RI by specialty
• Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.