Individual provider Active NPI

William Peter Colwell, LICSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1093587792
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW03892 Issued in RI
Practice address
127 Princeton Ave
Providence, RI 02907-1501
Phone
(401) 533-7455
NPI assigned
Oct 25, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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 03832 RI
Clinical Social Worker 1041C0700X ISW03892 RI Primary

Addresses

Primary practice location

127 Princeton Ave
Providence, RI 02907-1501

Mailing address

127 Princeton Ave
Providence, RI 02907-1501
Phone (401) 533-7455

Other names 1

  • William Peter Bateman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03832RIMDClinical Social Worker
ISW03892RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Community Action Program CurrentSince Oct 1, 2023 Accepting new patients
East Bay Community Action Program CurrentSince Oct 1, 2023 Accepting new patients
East Bay Community Action Program Past Accepting new patients

Locations

2 Old County Rd
Barrington, RI 02806
Phone (401) 246-1195

19 Broadway
Newport, RI 02840
Phone (401) 845-0564

6 John H Chafee Blvd
Newport, RI 02840
Phone (401) 239-1208

100 Bullocks Point Ave
Riverside, RI 02915
Phone (401) 437-1000

610 Wampanoag Trl
Riverside, RI 02915
Phone (401) 431-9870

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1093587792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 PRINCETON AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071501",
            "telephone_number": "401-533-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 PRINCETON AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071501",
            "telephone_number": "401-533-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLWELL",
        "first_name": "WILLIAM",
        "middle_name": "PETER",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "03832",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "BATEMAN",
            "middle_name": "PETER",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.