Individual provider Active NPI

Beatrice M Wells, LICSW

  • Clinical Social Worker
  • Rutland, VT
National Provider Identifier
1588829972
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0001256 Issued in VT
Practice address
24 1/2 Center St
Rutland, VT 05701-4041
Phone
(802) 773-3379
Fax
(802) 773-7550
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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 089-0001256 VT Primary

Addresses

Primary practice location

24 1/2 Center St
Rutland, VT 05701-4041

Mailing address

24 1/2 Center St
Rutland, VT 05701-4041
Phone (802) 773-3379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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

Enrollment IDStateProvider typePAC IDDetails
I20090106000034 VT Practitioner - Clinical Social Worker 5092878819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vermont Catholic Charities, IncGroup PAC ID 9638232457, 3 clinicians

Practice addresses (Care Compare)

55 Joy Dr
South Burlington, VT 05403-6119
Phone (802) 658-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089-0001256VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vermont Catholic Charities, Inc CurrentSince Jun 1, 2008 Accepting new patients
Vermont Catholic Charities, Inc Past Accepting new patients

Locations

55 Joy Dr
South Burlington, VT 05403
Phone (802) 658-6110

Organizations & group practices 2

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1588829972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 1/2 CENTER ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014041",
            "telephone_number": "802-773-3379",
            "fax_number": "802-773-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 1/2 CENTER ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014041",
            "telephone_number": "802-773-3379",
            "fax_number": "802-773-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "BEATRICE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0001256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.