Mindy R Grodofsky-Gilmore

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105944 Issued in MA

Practice address

275 Turnpike St
Suite 105
Canton, MA 02021-2357

Phone

(781) 821-1626

Fax

(781) 821-1743

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hebrew Rehabilitation CenterGroup PAC ID 6608855119, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
• Hebrew Rehabilitation Center Long-term care hospital, Boston, MA, CCN 222007

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Hebrew Rehabilitation Center

  • Long Term Care Hospital
  • Boston, MA
  • NPI 1437155967
  Medicare reassignment Care Compare group NPD
• Hebrew Rehabilitation Center

  • Skilled Nursing Facility
  • Roslindale, MA
  • NPI 1013012319
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hebrew Rehabilitation Center

  • Long Term Care Hospital
  • Boston, MA
  • NPI 1437155967

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669570701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 TURNPIKE ST",
            "address_2": "SUITE 105",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212357",
            "telephone_number": "781-821-1626",
            "fax_number": "781-821-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 TURNPIKE ST",
            "address_2": "SUITE 105",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212357",
            "telephone_number": "781-821-1626",
            "fax_number": "781-821-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODOFSKY-GILMORE",
        "first_name": "MINDY",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nettie K Greenstein, PSYD
• Greystone Pain Management Inc
• Erin Griffin
• Harrison Connor Griffith
• Dennis Allen Griggs, BCBA
• Sara Grzejszczak Fernandes, LMHC, BCBA, LABA
• Rosenide Guerrier Guerrier Pierre-Charles, FNP
• Jina Guimond
• Shannon Guzzino
• Ingrid Hache, OTR,L

• Clinical Social Worker in Canton, MA
• Providers in Canton, 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 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.