Individual provider Active NPI

Mandy Lecomte, LICSW

  • Clinical Social Worker
  • North Providence, RI
National Provider Identifier
1033428099
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01952 Issued in RI
Practice address
35 Dorman Avenue
North Providence, RI 02904
Phone
(401) 263-2885
NPI assigned
Sep 24, 2010
Last updated
Apr 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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 ISW01952 RI Primary

Addresses

Primary practice location

35 Dorman Avenue
North Providence, RI 02904

Mailing address

35 Dorman Avenue
North Providence, RI 02904
Phone (401) 263-2885

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
I20130403000476 RI Practitioner - Clinical Social Worker 8527203058 Practice locations: North Providence, RI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Come Alive Counseling, LLC Clinical CurrentSince May 1, 2022 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, 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": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1033428099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DORMAN AVENUE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-263-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DORMAN AVENUE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-263-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECOMTE",
        "first_name": "MANDY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

Verify at the official NPI Registry.