NPIMap

Organization Active NPI

Martha Dempster, Licsw, LLC

  • Community/Behavioral Health Agency
  • North Kingstown, RI
National Provider Identifier
1073666913
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
ISW01537 Issued in RI
Legal business name
MARTHA DEMPSTER, LICSW, LLC
Practice address
1130 Ten Rod Rd
Suite D-104
North Kingstown, RI 02852-4180
Phone
(401) 935-9784
Fax
(401) 295-5552
NPI assigned
Jan 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Martha Dempster, LICSWNPI 1053464990
Title
Owner
Phone
(401) 935-9784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X ISW01537 RI Primary

Addresses

Primary practice location

1130 Ten Rod Rd
Suite D-104
North Kingstown, RI 02852-4180

Mailing address

1130 Ten Rod Rd
Suite D-104
North Kingstown, RI 02852-4180
Phone (401) 935-9784

Other identifiers 3

IdentifierTypeStateIssuer
301257OtherRIBLUE CROSS BLUE SHIELD
409249OtherRIBLUE CHIP
1037150OtherRINEIGHBORHOOD HEALTH PLAN

National Provider Directory

National Provider Directory

Locations

1130 Ten Rod Rd
Ste D104
North Kingstown, RI 02852
Phone (401) 258-7511

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073666913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD",
            "address_2": "SUITE D-104",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524180",
            "telephone_number": "401-935-9784",
            "fax_number": "401-295-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD",
            "address_2": "SUITE D-104",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524180",
            "telephone_number": "401-935-9784",
            "fax_number": "401-295-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA DEMPSTER, LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMPSTER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-935-9784",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "RI",
            "license": "ISW01537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "301257",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "409249",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "1037150",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.