Organization Active NPI

Tass Overflow Holistic Care LLC

  • Clinical Social Worker
  • Pawtucket, RI
National Provider Identifier
1134939986
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TASS OVERFLOW HOLISTIC CARE LLC
Practice address
12 Longfellow St
Pawtucket, RI 02861-1040
Phone
(401) 757-0282
NPI assigned
Jan 13, 2025
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Sylvie Duverseau, LCSWNPI 1982414488
Title
Founder
Phone
(401) 757-0282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

12 Longfellow St
Pawtucket, RI 02861-1040

Mailing address

12 Longfellow St
Pawtucket, RI 02861-1040
Phone (401) 757-0282

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1134939986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LONGFELLOW ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028611040",
            "telephone_number": "401-757-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LONGFELLOW ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028611040",
            "telephone_number": "401-757-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASS OVERFLOW HOLISTIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "DUVERSEAU",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "401-757-0282",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.