Jayashree Nimmagadda, MSW, PH.D, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01647 Issued in RI

Practice address

25 Thurber Blvd
Smithfield, RI 02917-1816

Phone

(401) 233-1634

NPI assigned

Mar 30, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Center for Southeast Asians

  • Case Management Agency
  • Providence, RI
  • NPI 1730396938
  NPD

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1114505211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 JOHN F KENNEDY CIR",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029045315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 THURBER BLVD",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171816",
            "telephone_number": "401-233-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMMAGADDA",
        "first_name": "JAYASHREE",
        "name_prefix": "Dr.",
        "credential": "MSW, PH.D, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muldowney Physical Therapy, Inc.
• Christopher Edward Napolitano, D.D.S.
• Kathleen Patricia Natareno, APRN
• National Mentor Healthcare, LLC
• New England Home Therapies, Inc.
• No Risk LLC
• Siobhan O'Brien, LICSW
• Patrick T O'Sullivan, ATC
• Occupational Health Centers of the Southwest PA
• Ocean State Urgent Care Center of Smithfield LLC

• Clinical Social Worker in Smithfield, RI
• Providers in Smithfield, 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 12, 2021; 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.