WAYNE PRESTON PEARSON JR. LICSW
NPI 1811531965
Social Worker - Clinical in Boston, MA

Active since November 01, 2019PECOS EnrolledAccepts Medicare Assignment
75 KNEELAND ST, BOSTON, MA 02111(617) 457-8140 Get Directions Write a Review

NPPES record last updated: November 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wayne Preston Pearson Jr. Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNE PRESTON PEARSON JR. LICSW (NPI 1811531965) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (122230) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1811531965
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameWAYNE PRESTON PEARSON JR.Credential: LICSW
Location Address75 KNEELAND STBoston, MA 02111-1901
Mailing Address75 Kneeland StBoston, MA 02111-1901
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 1, 2019
NPI 1811531965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 122230
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

75 KNEELAND ST, Boston, MA 02111

Secondary Practice Location 1

Location 175 Kneeland StBoston, MA 02111-1901 · Phone (617) 457-8140

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Wayne Preston Pearson Jr. Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587104179
PECOS Enrollment IDI20241017001972
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
75 KNEELAND ST
BOSTON, MA 02111
Clinic/Center (Endoscopy)
75 KNEELAND ST
BOSTON, MA 02111
Dietitian, Registered
75 KNEELAND ST
BOSTON, MA 02111
Nurse Practitioner (Community Health)
75 KNEELAND ST, SUITE 201
BOSTON, MA 02111
Case Management
75 KNEELAND ST, SUITE 204
BOSTON, MA 02111
Social Worker (Clinical)
75 KNEELAND ST
BOSTON, MA 02111
Counselor (Mental Health)
75 KNEELAND ST, #201
BOSTON, MA 02111
Clinic/Center (Community Health)
75 KNEELAND ST, 2ND FLOOR
BOSTON, MA 02111

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 Wayne Pearson's NPI number?

The NPI number for Wayne Pearson is 1811531965. It was assigned to this individual provider in the NPPES registry on November 1, 2019.

Where is Wayne Pearson located?

Wayne Pearson practices at 75 Kneeland St, Boston, MA 02111. The listed phone number is (617) 457-8140.

What is Wayne Pearson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Wayne Pearson enrolled in Medicare?

Yes. Wayne Pearson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Wayne Pearson was last updated on November 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.