Active NPI
Anita Minkin, CSW
- Clinical Social Worker
- Pawtucket, RI
National Provider Identifier
1063566917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1SW01289
- Practice address
- 750 East Ave
Pawtucket, RI 02860-6165 - Phone
- (401) 457-5252
- Fax
- (401) 316-0439
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 110026 | MA | |
| Clinical Social Worker | 1041C0700X | 1SW01289 | RI | Primary |
Addresses
Primary practice location
750 East Ave
Pawtucket, RI 02860-6165
Mailing address
750 East Ave
Pawtucket, RI 02860-6165
Phone (401) 457-5252
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308612 | Other | RI | BLUE CROSS BLUE SHIELD |
| 411510 | Other | RI | BLUE CHIP |
Other names 1
- Anita Berkofsky
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040605000077 | RI | Practitioner - Clinical Social Worker | 6406838622 | Practice locations: Pawtucket, RI; Warwick, RI |
| I20200422001402 | OH | Practitioner - Clinical Social Worker | 6406838622 | Practice locations: South Euclid, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
200 Centerville Rd
Warwick, RI 02886-0238
Phone (401) 316-0433
335 Centerville Rd
Warwick, RI 02886-4384
Phone (401) 475-5252
4589 Mayfield Rd
South Euclid, OH 44121-4044
Phone (216) 785-9466
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110026 | MA | MD | Clinical Social Worker |
| 1SW01289 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christine Richards LLC | Past | 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 and National Provider Directory roles.
-
- Mental Health Counselor
- Attleboro, MA
- NPI 1194395657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1063566917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 EAST AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028606165",
"telephone_number": "401-457-5252",
"fax_number": "401-316-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 EAST AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028606165",
"telephone_number": "401-457-5252",
"fax_number": "401-316-0439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINKIN",
"first_name": "ANITA",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "110026",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "1SW01289",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "308612",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "411510",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "BERKOFSKY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.