Individual provider Active NPI

Robert Green Whitman-Raymond, MSW, CAS

  • Clinical Social Worker
  • Pawtucket, RI
National Provider Identifier
1114078557
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00775 Issued in RI
Practice address
100 Lafayette St
Pawtucket, RI 02860-6008
Phone
(401) 729-7541
NPI assigned
Jan 14, 2007
Sex
Male
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW00775 RI Primary
Clinical Social Worker 1041C0700X 107591 MA

Addresses

Primary practice location

100 Lafayette St
Pawtucket, RI 02860-6008

Mailing address

100 Lafayette St
Pawtucket, RI 02860-6008
Phone (401) 729-7541

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
I20091124000463 RI Practitioner - Clinical Social Worker 3072419720 Practice locations: Pawtucket, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Lafayette St
Pawtucket, RI 02860-6008
Phone (401) 742-6914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107591MAMDClinical Social Worker
ISW00775RIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114078557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAFAYETTE ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606008",
            "telephone_number": "401-729-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAFAYETTE ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606008",
            "telephone_number": "401-729-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMAN-RAYMOND",
        "first_name": "ROBERT",
        "middle_name": "GREEN",
        "credential": "MSW, CAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00775",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "107591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.