MEDICARE: BEARING WELL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1700715356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEARING WELL THERAPY LLC

Provider Business Mailing Address
First Line	:	1113 MADISON PL
Second Line	:
City	:	SOUTHBOROUGH
State	:	MA
Zip	:	01772-2152
Country	:	US
Telephone Number	:	508-614-9690
Fax Number	:

Provider Business Practice Location Address
First Line	:	67 FOREST ST STE 277
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-3197
Country	:	US
Telephone Number	:	508-614-9690
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DARECK HUBBELL
Credential	:	LICSW
Telephone Number	:	508-733-5367

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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