Organization Active NPI

Specialized Education of Ri

  • School Social Worker
  • Providence, RI
National Provider Identifier
1124297536
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Legal business name
SPECIALIZED EDUCATION OF RI
Practice address
100 Houghton St
Providence, RI 02904-1013
Phone
(401) 751-5800
Fax
(401) 751-5900
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Anthony Clancy
Title
School Director
Phone
(401) 751-5800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X Primary
Exclusive Provider Organization 302F00000X

Addresses

Primary practice location

100 Houghton St
Providence, RI 02904-1013

Mailing address

100 Houghton St
Providence, RI 02904
Phone (401) 751-5800

Other names 1

  • High Road of Providence Doing business as

National Provider Directory

National Provider Directory

Locations

100 Houghton St
Providence, RI 02904
Phone (401) 861-2080

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1124297536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOUGHTON ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-751-5800",
            "fax_number": "401-751-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOUGHTON ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041013",
            "telephone_number": "401-751-5800",
            "fax_number": "401-751-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED EDUCATION OF RI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "SCHOOL DIRECTOR",
        "authorized_official_telephone_number": "401-751-5800"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Road of Providence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 23, 2008; 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.