Individual provider Active NPI

Charlene Leveillee, CSW

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1083697551
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01514 Issued in RI
Practice address
227 Centerville Rd
Warwick, RI 02886-4394
Phone
(401) 732-3332
Fax
(401) 739-0196
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ISW01514 RI Primary

Addresses

Primary practice location

227 Centerville Rd
Warwick, RI 02886-4394

Mailing address

15 Oakhurst Ave
Warwick, RI 02889-9003
Phone (401) 739-2448

Other identifiers 2

IdentifierTypeStateIssuer
26895-8OtherRIBLUE CROSS PROVIDER NUMBE
411267OtherRIBLUE CHIP PROVIDER NUBER

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
I20041122000054 RI Practitioner - Clinical Social Worker 9638134414 Practice locations: Warwick, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Oakhurst Ave
Warwick, RI 02889-9003
Phone (401) 474-4844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Richards LLC PastSince Jul 1, 2021 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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083697551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OAKHURST AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028899003",
            "telephone_number": "401-739-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864394",
            "telephone_number": "401-732-3332",
            "fax_number": "401-739-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVEILLEE",
        "first_name": "CHARLENE",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "26895-8",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP PROVIDER NUBER",
            "identifier": "411267",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.