Individual provider Active NPI

Beth Mancini, LICSW

  • Clinical Social Worker
  • Woonsocket, RI
National Provider Identifier
1003293648
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02244 Issued in RI
Practice address
154 Main St
Woonsocket, RI 02895-4469
Phone
(508) 373-4074
Fax
(401) 235-9064
NPI assigned
May 4, 2015
Last updated
May 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW02244 RI Primary

Addresses

Primary practice location

154 Main St
Woonsocket, RI 02895-4469

Mailing address

151 Singleton St
Woonsocket, RI 02895-1832
Phone (508) 373-4074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220627000658 RI Practitioner - Clinical Social Worker 6204149248 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW02244RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Mente Counseling, LLC CurrentSince Mar 15, 2022 Accepting new patients
Northern Ri Rehab Management Associates LP PastSince May 17, 2020 Accepting new patients

Locations

2 South St
Grafton, MA 01519
Phone (774) 512-0109

151 Singleton St
Woonsocket, RI 02895

154 Main St
Woonsocket, RI 02895
Phone (401) 999-8181

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1003293648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SINGLETON ST",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028951832",
            "telephone_number": "508-373-4074",
            "fax_number": "401-235-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 MAIN ST",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954469",
            "telephone_number": "508-373-4074",
            "fax_number": "401-235-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "BETH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.