Gerald Bedsole, LICSW

Individual provider Active NPI Clinical Social Worker · Weymouth, MA

NPI 1962482273 · NPPES record last updated Oct 22, 2007

Key facts

NPI
1962482273
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
1027450 (MA)
Practice address
49 Pleasant St
Weymouth, MA 02190-2435
Phone
(781) 335-6000
Fax
(617) 288-3910
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

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, Inc (6 clinicians)

Practice addresses (Care Compare)

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

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

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

Locations

27 Mica Ln
Ste 106
Wellesley Hills, MA 02481
Phone (781) 259-0050

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1027450 MA Yes

Addresses

Primary practice location

49 Pleasant St
Weymouth, MA 02190-2435

Mailing address

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

Other providers in Weymouth, MA

All providers in Weymouth, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.