THE OUTREACH WELLNESS CENTER LLC
NPI 1346009453
Social Worker in Quincy, MA
About The Outreach Wellness Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE OUTREACH WELLNESS CENTER LLC (NPI 1346009453) is a healthcare organization registered as a social worker in Quincy, Massachusetts and active in the NPI registry since March 2024. The organization lists Brandon Gholson, Intake Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Outreach Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to The Outreach Wellness Center LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is The Outreach Wellness Center LLC's NPI number?
The NPI number for The Outreach Wellness Center LLC is 1346009453. It was assigned to this organization in the NPPES registry on March 19, 2024.
Where is The Outreach Wellness Center LLC located?
The Outreach Wellness Center LLC is located at 1354 Hancock St Ste 205, Quincy, MA 02169. The listed phone number is (857) 939-4445.
What is The Outreach Wellness Center LLC's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is The Outreach Wellness Center LLC enrolled in Medicare?
Yes. The Outreach Wellness Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Outreach Wellness Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to The Outreach Wellness Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for The Outreach Wellness Center LLC was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# The Outreach Wellness Center Llc · NPI 1346009453
Social Worker organization in Quincy, Massachusetts. Organization record, active in the CMS NPPES registry since March 19, 2024.
## Identity
- **NPI:** 1346009453 (Entity type: Organization)
- **Enumerated:** March 19, 2024
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **Organization subpart:** No
- **Authorized official:** Brandon Gholson, INTAKE COORDINATOR
## Practice location
- **Address:** 1354 HANCOCK ST STE 205, Quincy, MA 02169-5109
- **Phone:** (857) 939-4445
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1346009453) · Data from the CMS NPPES public registry.