Susan Belitsky, LICSW
Individual provider Active NPI Social Worker · Providence, RI
NPI 1114970787 · NPPES record last updated Nov 7, 2007
Key facts
- NPI
- 1114970787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- ISW01590 (RI)
- Practice address
- 580 Wickenden St
Providence, RI 02903-4400 - Phone
- (401) 621-1836
- Fax
- (401) 842-0360
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW01590 | RI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW01590 | RI | Yes |
Addresses
Primary practice location
580 Wickenden St
Providence, RI 02903-4400
Mailing address
580 Wickenden St
Providence, RI 02903-4400
Phone (401) 621-1836
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SB55217 | Medicaid | RI |
Other providers in Providence, RI
- Santosh Belbase
- Debra Lynne Belcher
- Christa Joelle Maria Belgrave
- Clyde H Belgrave
- Meghan Elena Belisle
- Erika Mandi Belitzky
- Gail Bell
- Tiffany Nicole Bell
- Amanda Flora Bellamy
- Holly M Bellerose
All providers in Providence, RI · Social Worker in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.