Jamie L Gauthier, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW01046 Issued in RI

Practice address

1471 Elmwood Ave
Cranston, RI 02910-3849

Phone

(401) 490-7320

Fax

(401) 490-7694

NPI assigned

Feb 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Gateway Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pawtucket, RI
  • NPI 1821078932
  NPD (past)

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1104004563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 ELMWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029103849",
            "telephone_number": "401-490-7320",
            "fax_number": "401-490-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 ELMWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029103849",
            "telephone_number": "401-490-7320",
            "fax_number": "401-490-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW01046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GH57134",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gateways to Change, Inc.
• Gateways to Change, Inc.
• Sophonisba Gathman, BCBA
• Brian David Gaudette, DMD
• Jennifer Gaudiana
• Micheline Gauthier, AU.D., CCC-A
• Heidi Gay, RN, BSN
• George Ryan Geehan Jr., M.S.
• Steve Geisler, LMHC, LCDP
• Kiara Genao

• Clinical Social Worker in Cranston, RI
• Providers in Cranston, 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 Mar 31, 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.