DR. WILLIAM C GILBERT PHD,MSW, LCSW
NPI 1972857431
Social Worker - Clinical in Wethersfield, CT

Active since November 06, 2012PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1025 SILAS DEANE HWY, WETHERSFIELD, CT 06109(860) 696-2400(860) 696-2415 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. William C Gilbert Phd,msw, Lcsw NPPES

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

DR. WILLIAM C GILBERT PHD,MSW, LCSW (NPI 1972857431) is an individual clinical provider in Wethersfield, Connecticut, licensed in Connecticut (02861) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1972857431
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. WILLIAM C GILBERTCredential: PHD,MSW, LCSW
Location Address1025 SILAS DEANE HWYWethersfield, CT 06109-4223
Mailing Address1025 Silas Deane HwyWethersfield, CT 06109-4223 · (860) 696-2400 · Fax (860) 696-2415
Fax(860) 696-2415
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 6, 2012
Last NPPES UpdateDecember 28, 2022
NPPES CertifiedDecember 28, 2022
NPI 1972857431 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 CT · 02861
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.
1025 SILAS DEANE HWY, Wethersfield, CT 06109

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

Dr. William C Gilbert Phd,msw, Lcsw 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 ID5991011496
PECOS Enrollment IDI20150828001401
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
65 services21 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
25 services12 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06109 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Medical)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Nurse Practitioner (Family)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Social Worker (Clinical)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Internal Medicine
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Family Medicine
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Physician Assistant (Medical)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Nurse Practitioner (Family)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Internal Medicine
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109

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 William Gilbert's NPI number?

The NPI number for William Gilbert is 1972857431. It was assigned to this individual provider in the NPPES registry on November 6, 2012.

Where is William Gilbert located?

William Gilbert practices at 1025 Silas Deane Hwy, Wethersfield, CT 06109. The listed phone number is (860) 696-2400.

What is William Gilbert's specialty?

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

Is William Gilbert enrolled in Medicare?

Yes. William Gilbert 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 William Gilbert was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.