MS. CONSTANCE WYNNE LICSW
NPI 1043486095
Social Worker in Boston, MA
NPI Status: Active since April 30, 2008
- Individual
- Female
- Years of Experience 34
- Social Worker
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About CONSTANCE WYNNE
This page provides the complete NPI Profile along with additional information for Constance Wynne, a provider established in Boston, Massachusetts with a medical specialization in Social Worker and more than 34 years of experience. She graduated from University Of California, Geffen School Of Medicine in 1992. The healthcare provider is registered in the NPI registry with number 1043486095 assigned on April 2008. The practitioner's primary taxonomy code is 104100000X with license number 114240 (MA). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1043486095
- Provider Name
- MS. CONSTANCE WYNNE LICSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1059 TREMONT ST BOSTON, MA 02120
- Location Phone
- (310) 488-6867
- Mailing Address
- 1059 TREMONT ST BOSTON, MA 02120
- Mailing Phone
- (310) 488-6867
- Medical School Name
- UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
- Graduation Year
- 1992
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-30-2008
- Last Update Date
- 01-07-2015
- Code Navigator
A social worker like Constance Wynne helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 114240
- License State
- MA
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Constance Wynne is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Constance Wynne is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6709949761
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20090116000491
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 4 | 8 | 6 | 0 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 8 | 8 | 12 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 8 + 8 + 1 + 2 + 0 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1043486095 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003214438 | STEVE WILKINS Individual | Social Worker | 1059 TREMONT ST BOSTON, MA 02120 (617) 445-4075 |
| 1083003107 | MALTINA KELSEY Individual | Social Worker | 1059 TREMONT ST BOSTON, MA 02120 (617) 267-6552 |
| 1033508965 | TERESA PERRY Individual | Social Worker | 1059 TREMONT ST BOSTON, MA 02120 (617) 742-4354 |
| 1821487745 | PATRICK HAYNES Individual | Social Worker | 1059 TREMONT ST BOSTON, MA 02120 (617) 742-4354 |
| 1528457462 | PAMELA ELOW Individual | Social Worker | 1059 TREMONT ST BOSTON, MA 02120 (617) 742-4354 |
| 1740665041 | SHARA LOWE Individual | Social Worker | 1059 TREMONT ST BOSTON, MA 02120 (617) 445-4075 |
| 1881127231 | EVELYN VAZQUEZ Individual | Case Manager/Care Coordinator | 1059 TREMONT ST SUITE 2 ROXBURY CROSSING, MA 02120 (617) 445-4075 |
| 1326494089 | LYNETTE RIVERA Individual | Counselor | 1059 TREMONT ST ROXBURY, MA 02120 (617) 445-4075 |
| 1558995647 | ROSA M MERCADO Individual | Case Manager/Care Coordinator | 1059 TREMONT ST BOSTON, MA 02120 (617) 445-4075 |
| 1164092011 | KETSY CARABALLO Individual | Case Manager/Care Coordinator | 1059 TREMONT ST ROXBURY, MA 02120 (617) 318-4153 |
| 1508632290 | KAREN ELAINE JOHNSON Individual | Case Manager/Care Coordinator | 1059 TREMONT ST BOSTON, MA 02120 (617) 445-4075 |
| 1881437937 | ROSELYN F PICHARDO Individual | Case Manager/Care Coordinator | 1059 TREMONT ST BOSTON, MA 02120 (617) 778-8609 |
| 1023839461 | ANGEL ORTIZ Individual | Social Worker (Clinical) | 1059 TREMONT ST ROXBURY CROSSING, MA 02120 (617) 445-4075 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043486095, enumerated in the NPI registry as an "individual" on April 30, 2008
The provider is located at 1059 Tremont St Boston, Ma 02120 and the phone number is (310) 488-6867
The provider's speciality is Social Worker with taxonomy code 104100000X
The provider has more than 34 years of experience. She graduated from University Of California, Geffen School Of Medicine in 1992.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on April 30, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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