Individual provider Active NPI

David Beacham Quemere, MSW, LICSW

  • Clinical Social Worker
  • Norwood, MA
National Provider Identifier
1629451620
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1021720LICSW Issued in MA
Practice address
29 Lincoln Street
Norwood, MA 02062-3048
Phone
(617) 939-6475
NPI assigned
Jul 8, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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 1021720LICSW MA Primary

Addresses

Primary practice location

29 Lincoln Street
Norwood, MA 02062-3048

Mailing address

29 Lincoln Street
Norwood, MA 02062-3048
Phone (617) 939-6475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20170330001658 MA Practitioner - Clinical Social Worker 2163707324 Practice locations: Milford, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

29 Lincoln St
Norwood, MA 02062-2119

909 Fortune Blvd
Milford Franklin Counseling Services
Milford, MA 01757
Phone (508) 473-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1021720LICSWMAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Franklin Counseling Services Inc Clinical Past Accepting new patients

Organizations & group practices 1

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1629451620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LINCOLN STREET",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623048",
            "telephone_number": "617-939-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LINCOLN STREET",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623048",
            "telephone_number": "617-939-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEMERE",
        "first_name": "DAVID",
        "middle_name": "BEACHAM",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1021720LICSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.