Active NPI
Tara Elizabeth Skitt, LICSW
- Clinical Social Worker
- Warwick, RI
National Provider Identifier
1134484058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW02219
- Practice address
- 1045 Warwick Ave
Suite 101
Warwick, RI 02888-3665 - Phone
- (401) 575-1884
- Fax
- (401) 270-0660
- NPI assigned
- Jul 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW02219 | RI | Primary |
Addresses
Primary practice location
1045 Warwick Ave
Suite 101
Warwick, RI 02888-3665
Mailing address
1045 Warwick Ave
Suite 101
Warwick, RI 02888-3665
Phone (401) 575-1884
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW02219 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Change, LLC | Clinical | Current | Accepting new patients |
Locations
1045 Warwick Ave
Ste 101
Warwick, RI 02888
Phone (401) 465-2670
Interoperability endpoints
- admin@direct.centerforchangeri.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1134484058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 WARWICK AVE",
"address_2": "SUITE 101",
"city": "WARWICK",
"state": "RI",
"postal_code": "028883665",
"telephone_number": "401-575-1884",
"fax_number": "401-270-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 WARWICK AVE",
"address_2": "SUITE 101",
"city": "WARWICK",
"state": "RI",
"postal_code": "028883665",
"telephone_number": "401-575-1884",
"fax_number": "401-270-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKITT",
"first_name": "TARA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-06",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW02219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.