Desiree Soto, CSW02547

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW02547 Issued in RI

Practice address

66 Burnett St
Providence, RI 02907-2527

Phone

(401) 785-0050

Fax

(401) 941-0089

NPI assigned

Dec 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Map Behavioral Health Group

  • Mental Health Counselor
  • Providence, RI
  • NPI 1992448534

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1480809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1033653472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 VIREO ST",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044723",
            "telephone_number": "401-699-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BURNETT ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072527",
            "telephone_number": "401-785-0050",
            "fax_number": "401-941-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "DESIREE",
        "credential": "CSW02547",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-04",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "1659AD",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00552",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW02547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Providence",
            "affiliation": "N",
            "address_1": "66 Burnett St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029072527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abigail Leah Soscia, APRN
• Sorina Loren Sotis, AU.D.
• Alondra Soto-Calzado, LCSW
• Wilmaris Soto-Ramos, LICSW
• Alberto Soto, PHD
• Jacarina Soto
• Jacqueline Soto, RN
• Jennifer Soucar
• Peter Andrew Soukas, M.D.
• Soul Sail Therapy, Inc

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.