Individual provider Active NPI

Rhonda Wiener, LICSW

  • Clinical Social Worker
  • Rockland, MA
National Provider Identifier
1700909298
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1016744 Issued in MA
Practice address
100 Ledgewood PL
Suite 202
Rockland, MA 02370-1075
Phone
(781) 871-6550
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1016744 MA Primary

Addresses

Primary practice location

100 Ledgewood PL
Suite 202
Rockland, MA 02370-1075

Mailing address

3 Briarwood Cir
Andover, MA 01810-3207

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
I20051020000662 MA Practitioner - Clinical Social Worker 6608892468 Reassigns benefits to 1 organization
Practice locations: Andover, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1016744MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arbour Elder Services, Inc. CurrentSince Jul 15, 2009 Accepting new patients
Arbour Elder Services, Inc. CurrentSince Jul 15, 2009 Accepting new patients

Locations

384 Washington St
Norwell, MA 02061
Phone (781) 659-0001

100 Ledgewood Pl
Ste 202
Rockland, MA 02370
Phone (781) 871-6500

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700909298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BRIARWOOD CIR",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LEDGEWOOD PL",
            "address_2": "SUITE 202",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "023701075",
            "telephone_number": "781-871-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "RHONDA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1016744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, MA

Sources for this page

Verify at the official NPI Registry.