Rebecca Bissett
Individual provider Active NPI Social Worker · Swansea, MA
NPI 1700330362 · NPPES record last updated Aug 11, 2016
Key facts
- NPI
- 1700330362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 463 Swansea Mall Dr
Swansea, MA 02777-4119 - Phone
- (508) 324-4202
- NPI assigned
- Aug 11, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Supportive Behavioral Care of Mass LLC
Practice addresses (Care Compare)
11 N St
Stoneham, MA 02180-1040
Phone (718) 506-1115
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251104003362 | MA | Practitioner - Clinical Social Worker | 1557851011 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Behavioral Care of Mass LLC | Social Worker | Current |
Accepting new patients |
| Supportive Behavioral Care of Ma LLC | Current |
Accepting new patients |
Locations
44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558
2 Beaumont Ave
Brockton, MA 02302
Phone (508) 588-8500
11 North St
Stoneham, MA 02180
Phone (603) 759-4559
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
463 Swansea Mall Dr
Swansea, MA 02777-4119
Mailing address
463 Swansea Mall Dr
Swansea, MA 02777-4119
Phone (508) 324-4202
Other providers in Swansea, MA
- Kara Berube
- Best Hearing Solutions Inc.
- Better Off Fed Nutrition LLC
- Heather Bibeault
- Daniel Jonathan Bielsten
- William R Blair
- Shawn Blankenship
- Agnes Anne Bond
- Caitlin Botelho
- Susan Boucher
All providers in Swansea, MA · Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.