Kathleen Hennessey, LICSW in Mansfield, MA - Medicare Social Worker Provider

Kathleen Hennessey, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Mansfield, Massachusetts. Her current practice location is 200 Chauncy St Ste 113, Mansfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 784-1025.

Kathleen Hennessey is licensed to practice in Massachusetts (license number 116809) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477883171.

Contact Information

	Kathleen Hennessey, LICSW
	200 Chauncy St Ste 113, Mansfield, MA 02048-1200
	(508) 784-1025
	(508) 552-9976

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen Hennessey
Gender	Female
Speciality	Social Worker - Clinical
Location	200 Chauncy St Ste 113, Mansfield, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477883171
Provider Enumeration Date: 01/04/2010
Last Update Date: 08/26/2021

Medicare PECOS Information:

PECOS PAC ID: 3971768177
Enrollment ID: I20120712000523

Medical Identifiers

Medical identifiers for Kathleen Hennessey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477883171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ISW02319 (Rhode Island)	Secondary
1041C0700X	Social Worker - Clinical	SW18233 (Florida)	Secondary
1041C0700X	Social Worker - Clinical	116809 (Massachusetts)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathleen Hennessey allows following entities to bill medicare on her behalf.

Entity Name	Mindful Life Psychotherapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003380684 PECOS PAC ID: 5395108807 Enrollment ID: O20230831001736

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Hennessey is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kathleen Hennessey, LICSW 200 Chauncy St Ste 113, Mansfield, MA 02048-1200 Ph: (508) 784-1025	Kathleen Hennessey, LICSW 200 Chauncy St Ste 113, Mansfield, MA 02048-1200 Ph: (508) 784-1025

Reviews and Comments

Social Worker in Mansfield, MA

Kathleen Mary Jones, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4 Brookside Rd, Mansfield, MA 02048 Phone: 508-339-2410
Donna Carlin Tuleja, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 89 Forbes Blvd, Mansfield, MA 02048 Phone: 857-307-3700
Michele Pacholec, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44 Fairfield Park, Mansfield, MA 02048 Phone: 508-207-5347
Lawrence Weiner, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14 Rosewood Dr, Mansfield, MA 02048 Phone: 617-999-7016
Kylie L Gervasio, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 792 S Main St, Mansfield, MA 02048 Phone: 774-331-8224
Mrs. Theresa Melchionna Rhein, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Chauncy Street, Mansfield, MA 02048 Phone: 508-320-8620 Fax: 508-339-6902
Robbin Volkart, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 158 Lawndale Rd, Mansfield, MA 02048 Phone: 910-389-9941

Kathleen Hennessey, LICSW - Medicare Clinical Social Worker in Mansfield, MA