Margaret Mittner, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02419 Issued in RI

Practice address

295 Angell St
Ste 1D
Providence, RI 02906-2119

Phone

(401) 365-0257

Fax

(216) 677-9313

NPI assigned

May 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Cable Consultation and Therapy Services, LLC

  • Adult Mental Health Clinic/Center
  • Narragansett, RI
  • NPI 1033616784
  NPD
• Psychological Centers

  • Community/Behavioral Health Agency
  • Providence, RI
  • NPI 1881754828

  Clinical

  NPD (past)

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1063824837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COLLEGE RD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082204",
            "telephone_number": "401-365-0257",
            "fax_number": "401-831-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 ANGELL ST",
            "address_2": "STE 1D",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062119",
            "telephone_number": "401-365-0257",
            "fax_number": "216-677-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTNER",
        "first_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124620",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Arthur Mitchner, LCDP
• Kendra Mitchner
• Rei Mitsuyama, MD
• Srilakshmi Mitta, M.D.
• Amol Mittal, M.D.
• Danielle F Miyagishima, M.D., PH.D.
• Areum Mo, RPH
• Bijan Moazezi
• Amy Modracek, RD
• Darryk James Modracek, PA-C

• 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 Aug 17, 2022; 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.

Verify at the official NPI Registry.