BETHANY VIRGILIO (LICSW) – Clinical Social Worker, NPI 1124231360
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
712 CLINICAL SOCIAL WORKER in RI
Provider Addresses for BETHANY VIRGILIO (LICSW)
70 KENYON AVE UNIT 211
WAKEFIELD, RI 028794241
Phone: (401) 788-1276
Fax: (401) 788-1514
Type: Location
4705, Old Post Road, Fort Ninigret, Charlestown, South County, Rhode Island, 02813, United States
CHARLESTOWN, RI 028131819
Phone: (401) 364-7705
Fax: (401) 364-9104
Type: Mailing
1 RIVER ST
WAKEFIELD, RI 028793214
Phone: (401) 767-4100
Type: Mailing
70 Kenyon Ave Unit 211
Wakefield, RI 028794241
Phone: (401) 788-1276
Fax: (401) 788-1514
Type: Location
55 Cherry Ln
Wakefield, RI 028793617
Phone: (401) 789-1367
Fax: (401) 789-6744
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091030000239 | I | Clinical Social Worker | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02879)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | RI | |
| Family Practice | RI | |
| Nurse Practitioner | RI | |
| Nurse Practitioner | RI | |
| - | RI | |
| Nurse Practitioner | RI | |
| Family Practice | RI | |
| - | RI | |
| Nurse Practitioner | RI | |
| Clinical Social Worker | RI |
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