Individual provider Active NPI

Gerald Bedsole, LICSW

  • Clinical Social Worker
  • Weymouth, MA
National Provider Identifier
1962482273
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1027450 Issued in MA
Practice address
49 Pleasant St
Weymouth, MA 02190-2435
Phone
(781) 335-6000
Fax
(617) 288-3910
NPI assigned
Jan 20, 2006
Last updated
Oct 22, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 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 1027450 MA Primary

Addresses

Primary practice location

49 Pleasant St
Weymouth, MA 02190-2435

Mailing address

49 Pleasant St
Weymouth, MA 02190-2435
Phone (781) 335-6000

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
I20050802000491 MA Practitioner - Clinical Social Worker 6709814536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlantic Counseling and Consultation, IncGroup PAC ID 9335125947, 6 clinicians

Practice addresses (Care Compare)

27 Mica LN
Suite 106
Wellesley, MA 02481-1741
Phone (781) 237-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1027450MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Counseling and Consultation, Inc CurrentSince Jul 2, 2009 Accepting new patients

Locations

27 Mica Ln
Ste 106
Wellesley Hills, MA 02481
Phone (781) 335-6000

49 Pleasant St
Weymouth, MA 02190
Phone (781) 335-6000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1962482273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PLEASANT ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021902435",
            "telephone_number": "781-335-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PLEASANT ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021902435",
            "telephone_number": "781-335-6000",
            "fax_number": "617-288-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDSOLE",
        "first_name": "GERALD",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1027450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.