Healthcare Provider Details

I. General information

NPI: 1588018246
Provider Name (Legal Business Name): REBECCA DECOSMO CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA GETMAN LICSW,CNP

II. Dates (important events)

Enumeration Date: 04/19/2016
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 LINCOLN ST
WORCESTER MA
01605-2138
US

IV. Provider business mailing address

281 LINCOLN ST PROVIDER ENROLLMENT
WORCESTER MA
01605-2138
US

V. Phone/Fax

Practice location:
  • Phone: 508-334-2527
  • Fax: 774-442-3687
Mailing address:
  • Phone: 508-334-8015
  • Fax: 508-334-8105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2390072
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number124088
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: