Individual
REBECCA DECOSMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
281 LINCOLN ST, WORCESTER, MA 01605-2138
(508) 334-2527
(774) 442-3687
Mailing address
281 LINCOLN ST, PROVIDER ENROLLMENT, WORCESTER, MA 01605-2138
(508) 334-8015
(508) 334-8105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
124088
MA
363L00000X
Nurse Practitioner
Primary
2025072054
MA
363L00000X
Nurse Practitioner
Primary
RN2390072
MA
Other
Enumeration date
04/19/2016
Last updated
07/30/2026
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