Active NPI
Kelly Baraf, LICSW
- Clinical Social Worker
- Providence, RI
National Provider Identifier
1003061144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01936
- Practice address
- 49 Pavilion Ave
Suite 105
Providence, RI 02905-1534 - Phone
- (401) 490-8900
- Fax
- (401) 490-2619
- NPI assigned
- Nov 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW01936 | RI | Primary |
Addresses
Primary practice location
49 Pavilion Ave
Suite 105
Providence, RI 02905-1534
Mailing address
4 Lafayette St
Pawtucket, RI 02860-6122
Phone (401) 536-5339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW01936 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Centers | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1003061144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 LAFAYETTE ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028606122",
"telephone_number": "401-536-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 PAVILION AVE",
"address_2": "SUITE 105",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029051534",
"telephone_number": "401-490-8900",
"fax_number": "401-490-2619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAF",
"first_name": "KELLY",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-17",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.