Individual provider Active NPI

Christine A. Chester, LICSW

  • Clinical Social Worker
  • Cranston, RI
National Provider Identifier
1073544490
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00102 Issued in RI
Practice address
94 Armington St
Cranston, RI 02905-4035
Phone
(401) 461-0356
Fax
(401) 270-4913
NPI assigned
Jul 5, 2006
Last updated
Sep 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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 ISW00102 RI Primary

Addresses

Primary practice location

94 Armington St
Cranston, RI 02905-4035

Mailing address

94 Armington St
Cranston, RI 02905-4035
Phone (401) 461-0356

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
I20050831000853 RI Practitioner - Clinical Social Worker 1850323635 Practice locations: Cranston, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

94 Armington St
Cranston, RI 02905-4035
Phone (401) 461-0356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1073544490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 ARMINGTON ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029054035",
            "telephone_number": "401-461-0356",
            "fax_number": "401-270-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 ARMINGTON ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029054035",
            "telephone_number": "401-461-0356",
            "fax_number": "401-270-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTER",
        "first_name": "CHRISTINE",
        "middle_name": "A.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.