Shine the Light Healing and Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHINE THE LIGHT HEALING AND WELLNESS

Practice address

16 Main St Ste 301
East Greenwich, RI 02818-3827

Phone

(401) 271-3689

NPI assigned

Apr 28, 2023

Last updated

Apr 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Reis Driscoll, MSW, LICSWNPI 1366836306

Title

Co-Owner

Phone

(401) 271-3689

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Reis-Driscoll, LICSW

  • Clinical Social Worker
  • Providence, RI
  • NPI 1366836306
  NPD Authorized official

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1114615952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAIN ST STE 301",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183827",
            "telephone_number": "401-271-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MAIN ST STE 301",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183827",
            "telephone_number": "401-271-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE THE LIGHT HEALING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "REIS DRISCOLL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "401-271-3689",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Samuel Sehl, D.O.
• Heidi Sena, LMT
• Erin M Sepe, LMHC
• Shalyn Coleman Licsw LLC
• Alison Rose Sherman
• Victor Shumilkin, MD
• Silver Fern Practice, LLC (Highbar)
• Silver Spring Health Care Management, Inc. (SCMG Express Care East Greenwich)
• Fredric Joel Silverblatt, MD
• Howard Silversmith, MD

• Clinical Social Worker in East Greenwich, RI
• Providers in East Greenwich, 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 28, 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.

Verify at the official NPI Registry.