Individual provider Active NPI

Maia R Roper, MSW, LICSW

  • Clinical Social Worker
  • Greenville, RI
National Provider Identifier
1013361492
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00124366 Issued in MA
Practice address
7 Austin Ave
Greenville, RI 02828-1520
Phone
(401) 349-3131
NPI assigned
Apr 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW02298 RI
Clinical Social Worker 1041C0700X 225152 MA
Clinical Social Worker 1041C0700X 00124366 MA Primary

Addresses

Primary practice location

7 Austin Ave
Greenville, RI 02828-1520

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice location 1

607 Pleasant St
Attleboro, MA 02703
Phone (508) 223-4691 ext. 1332

Other practice location 2

1525 Old Louisquisset Pike Ste 105
Lincoln, RI 02865-4503
Phone (857) 293-5020

Other practice location 3

33 Perry Ave
Attleboro, MA 02703-2417
Phone (508) 455-6245 ext. 208

Other practice location 4

300 Toll Gate Rd Ste 300
Warwick, RI 02886-4416
Phone (401) 467-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211119001557 MA Practitioner - Clinical Social Worker 0941699599 Reassigns benefits to 1 organization
I20240809002924 RI Practitioner - Clinical Social Worker 0941699599 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00124366MAMDClinical Social Worker
225152MAMDClinical Social Worker
CSW02298RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Mental Health Center, Inc. CurrentSince Nov 10, 2021 Accepting new patients
Child and Family Psychiatry, Inc. Clinical CurrentSince Jul 1, 2024 Accepting new patients
SB Transitional Sub, LLC CurrentSince Nov 10, 2021 Accepting new patients
Gershon Psychological Associates, LLC PastSince Sep 1, 2024 Accepting new patients
Gennew Inc. Clinical PastSince Nov 1, 2022 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

607 Pleasant St
Attleboro, MA 02703
Phone (508) 223-4691

607 Pleasant St
Ste 115
Attleboro, MA 02703
Phone (508) 223-4691

103 Commercial St
Ste 2
Brockton, MA 02302

7 Austin Ave
Greenville, RI 02828
Phone (401) 231-9324

1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830

Organizations & group practices 5

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": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1013361492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 AUSTIN AVE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281520",
            "telephone_number": "401-349-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "02703",
            "country_code": "US",
            "telephone_number": "508-223-4691 x1332",
            "fax_number": "508-223-3397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 Old Louisquisset Pike Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "028654503",
            "country_code": "US",
            "telephone_number": "857-293-5020",
            "fax_number": "857-226-8772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Perry Ave",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027032417",
            "country_code": "US",
            "telephone_number": "508-455-6245 x208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Toll Gate Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864416",
            "country_code": "US",
            "telephone_number": "401-467-0333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROPER",
        "first_name": "MAIA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW02298",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "225152",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "00124366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, RI

Sources for this page

Verify at the official NPI Registry.