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Patrick Willwerth , MED, LADC-I

Counselor - Addiction (Substance Use Disorder) β€’ Beverly, MA

Active NPI 1124748132 Individual Practitioner Male Practitioner
Practice location in NPPES

8 Thorndike St
Beverly, MA 019155858

Call 6172099330 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8 Thorndike St

Beverly, MA 019155858

Telephone 6172099330
Organization at the Same NPPES Address or Phone
Kettle Cove Counseling, Llc Facility NPI 1467228817

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Beverly and Massachusetts

16 active clinicians are listed under Counselor - Addiction (Substance Use Disorder) with a practice address in Beverly, MA (2,376 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Beverly

6.2% of these 16 clinicians have the CMS telehealth indicator.

6.2% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-16
Counselor - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES MA 22500
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Stephanie Drieze , LICSW

Social Worker - Clinical

NPI 1083615116

Licensed Independent Clinical Social Worker

Stephanie Hosman , RNCS

Registered Nurse - Psychiatric/Mental Health

NPI 1801898820
Janet Winocour , LICSW

Social Worker - Clinical

NPI 1649272592

Licensed Independent Clinical Social Worker

Michael Winocour , LICSW

Social Worker - Clinical

NPI 1629070578

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location December 16, 2024

Registered at 8 THORNDIKE ST, BEVERLY, MA 019155858 (Tel: 6172099330)

πŸ“
Updated Business Mailing Address December 16, 2024

Registered at 8 THORNDIKE ST, BEVERLY, MA 019155858 (Tel: 6172099330)

πŸ“
Updated Practice Location November 17, 2023

Registered at 350 SUMMER ST, MANCHESTER, MA 019441541 (Tel: 6172099330)

πŸ“
Updated Business Mailing Address November 17, 2023

Registered at 350 SUMMER ST, MANCHESTER, MA 019441541 (Tel: 6172099330)

πŸ‘€
Provider Name / Credentials Updated November 17, 2023

Recorded as PATRICK WILLWERTH, M.ED., LADC-I

βœ…
NPI Profile Active August 30, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 30, 2022

Registered at 76 WINTER ST, HAVERHILL, MA 018305760 (Tel: 9788800322)

πŸ“
Business Mailing Address (Initial Record) August 30, 2022

Registered at 76 WINTER ST, HAVERHILL, MA 018305760 (Tel: 9788800322)

πŸ‘€
Provider Name / Credentials (Initial Record) August 30, 2022

Recorded as PATRICK WILLWERTH, MA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2022

Counselor

🟒
Initial NPI Registration & Enumeration August 30, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124748132
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2022
Last Update: December 16, 2024
Sole Proprietor: Yes

Mailing Address

8 Thorndike St

Beverly, MA 019155858

Phone: 6172099330

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.