Christine A. Chester, LICSW

Individual provider Active NPI Clinical Social Worker · Cranston, RI

NPI 1073544490 · NPPES record last updated Sep 29, 2014

Key facts

NPI
1073544490
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
ISW00102 (RI)
Practice address
94 Armington St
Cranston, RI 02905-4035
Phone
(401) 461-0356
Fax
(401) 270-4913
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

Medicare Care Compare profile

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050831000853 RI Practitioner - Clinical Social Worker 1850323635 Practice locations: Cranston, RI

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
ISW00102RIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW00102 RI Yes

Addresses

Primary practice location

94 Armington St
Cranston, RI 02905-4035

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
406747OtherRICOORDINATED HEALTH PLANS
6258716OtherRIUBH
9373-0OtherRIBLUE CROSS & BLUE SHIELD
CC68901MedicaidRI
5640282OtherRIAETNA
809005826OtherRIMEDICARE PTAN

Other providers in Cranston, RI

All providers in Cranston, RI · Clinical Social Worker in Rhode Island

Sources for this page

Verify at the official NPI Registry.