Active NPI
Lisa J Daponte, MSW, LICSW
- Clinical Social Worker
- Providence, RI
National Provider Identifier
1114214012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW02399
- Practice address
- 270 Elmwood Ave
Providence, RI 02907-1524 - Phone
- (401) 274-8811
- Fax
- (401) 274-8877
- NPI assigned
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 117685 | MA | |
| Clinical Social Worker | 1041C0700X | ISW02399 | RI | Primary |
Addresses
Primary practice location
270 Elmwood Ave
Providence, RI 02907-1524
Mailing address
270 Elmwood Ave
Providence, RI 02907-1524
Phone (401) 274-8811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117685 | MA | MD | Clinical Social Worker |
| ISW02399 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Southeast Asians | Current | Accepting new patients | |
| High Point Treatment Center Inc. | Past | Accepting new patients | |
| Maxim Healthcare Services Inc | Past | Accepting new patients |
Locations
270 Elmwood Ave
Providence, RI 02907
Phone (401) 274-8811
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 and National Provider Directory roles.
-
- Case Management Agency
- Providence, RI
- NPI 1730396938
-
- Counselor
- New Bedford, MA
- NPI 1518996354
-
- Home Health Agency
- Greeneville, TN
- NPI 1013012053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1114214012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 ELMWOOD AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029071524",
"telephone_number": "401-274-8811",
"fax_number": "401-274-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 ELMWOOD AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029071524",
"telephone_number": "401-274-8811",
"fax_number": "401-274-8877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAPONTE",
"first_name": "LISA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-30",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "117685",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW02399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.