Active NPI
Nitsa Oz, LICSW
- Clinical Social Worker
- Pawtucket, RI
National Provider Identifier
1073763504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01928
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1025262 | MA | MD | Clinical Social Worker |
| ISW01928 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Social Worker
- Pawtucket, RI
- NPI 1598065633
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.