Nancy R Guertin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW00113 Issued in RI

Practice address

610Wampanoagtrail
Eastprovidence, RI 02915

Phone

(401) 431-9870

Fax

(401) 437-8847

NPI assigned

Apr 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrative Therapy for Change

  • Clinical Social Worker
  • Bristol, RI
  • NPI 1558247460
  NPD Authorized official

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1083930002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WAMPANOAG TRL",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151504",
            "telephone_number": "401-431-9870",
            "fax_number": "401-437-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610WAMPANOAGTRAIL",
            "city": "EASTPROVIDENCE",
            "state": "RI",
            "postal_code": "02915",
            "telephone_number": "401-431-9870",
            "fax_number": "401-437-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERTIN",
        "first_name": "NANCY",
        "middle_name": "R",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00113",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Grizzetti
• Anna B Grondski, DPT
• Sarah Jean Guarascio, O.D.
• Thomas Matthew Guarino, PHARMD
• Haley E Guertin, RBT
• Caroline N Guglielmo, DPT
• Preeti Gupta, MD
• William K Haddad, RPH
• Cynthia Mary Haggarty
• Michelle Haikalis, PHD

• Clinical Social Worker in East Providence, RI
• Providers in East Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.