Individual provider Active NPI

Dorene Gabelli, LICSW

  • Clinical Social Worker
  • Newton, MA
National Provider Identifier
1992775068
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100370 Issued in MA
Practice address
2364 Washington St
Newton, MA 02462-1440
Phone
(617) 332-2047
Fax
(617) 332-7341
NPI assigned
Jan 23, 2006
Last updated
Apr 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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 100370 MA Primary

Addresses

Primary practice location

2364 Washington St
Newton, MA 02462-1440

Mailing address

2364 Washington St
Newton, MA 02462-1440
Phone (617) 332-2047

Other identifiers 1

IdentifierTypeStateIssuer
P01333OtherMABLUE CROSS BLUE SHIELD

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
I20050916000463 MA Practitioner - Clinical Social Worker 4789617085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newton-Wellesley PsychiatryGroup PAC ID 1759282304, 20 clinicians

Practice addresses (Care Compare)

40 Walnut St
Suite 302
Wellesley, MA 02481-2175
Phone (617) 332-2047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newton-Wellesley Psychiatry Clinical CurrentSince Oct 21, 1994 Accepting new patients

Locations

2364 Washington St
Newton Lower Falls, MA 02462
Phone (617) 332-2047

40 Walnut St
Ste 302
Wellesley Hills, MA 02481
Phone (617) 332-2047

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1992775068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621440",
            "telephone_number": "617-332-2047",
            "fax_number": "617-332-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621440",
            "telephone_number": "617-332-2047",
            "fax_number": "617-332-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABELLI",
        "first_name": "DORENE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "100370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P01333",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.