Individual provider Active NPI

Nitsa Oz, LICSW

  • Clinical Social Worker
  • Pawtucket, RI
National Provider Identifier
1073763504
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01928 Issued in RI
Practice address
24 Blodgett Ave
Pawtucket, RI 02860-5620
Phone
(401) 744-0867
NPI assigned
Sep 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW01928 RI Primary
Clinical Social Worker 1041C0700X 1025262 MA

Addresses

Primary practice location

24 Blodgett Ave
Pawtucket, RI 02860-5620

Mailing address

24 Blodgett Ave
Pawtucket, RI 02860-5620
Phone (401) 744-0867

Other names 1

  • Nitsa Kedem Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1025262MAMDClinical Social Worker
ISW01928RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Center of Rhode Island Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1221868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1073763504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BLODGETT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605620",
            "telephone_number": "401-744-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BLODGETT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605620",
            "telephone_number": "401-744-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZ",
        "first_name": "NITSA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-20",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01928",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1025262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NITSA",
            "last_name": "KEDEM",
            "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 Jan 6, 2009; 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.