Active NPI
Sally McAuley, LICSW
- Clinical Social Worker
- Woonsocket, RI
National Provider Identifier
1023109915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01401
- Practice address
- 55 John a Cummings Way
Woonsocket, RI 02895-3247 - Phone
- (401) 235-7000
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW01401 | RI | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDP00448 | RI |
Addresses
Primary practice location
55 John a Cummings Way
Woonsocket, RI 02895-3247
Mailing address
272 Pontiac Ave # 2
Cranston, RI 02910-2003
Phone (401) 941-3144
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SM52074 | Medicaid | RI | |
| 0000030603 | Other | RI | BLUE CROSS |
| 6281078 | Other | RI | UNITED HEALTH |
| 409691 | Other | RI | BLUE CHIP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDP00448 | RI | MD | Addiction (Substance Use Disorder) Counselor |
| ISW01401 | RI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1023109915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 PONTIAC AVE # 2",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029102003",
"telephone_number": "401-941-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 JOHN A CUMMINGS WAY",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953247",
"telephone_number": "401-235-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCAULEY",
"first_name": "SALLY",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01401",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "CDP00448",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SM52074",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0000030603",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "6281078",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "409691",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.