Individual provider Active NPI

Michael F Scarpaci, LICSW

  • Clinical Social Worker
  • Johnston, RI
National Provider Identifier
1144265422
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00893 Issued in RI
Practice address
1524 Atwood Ave
St 437
Johnston, RI 02919
Phone
(401) 383-9570
Fax
(401) 383-9572
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW00893 RI Primary

Addresses

Primary practice location

1524 Atwood Ave
St 437
Johnston, RI 02919

Mailing address

33 College Hill Rd
29C
Warwick, RI 02886-2776
Phone (401) 822-4673

Other identifiers 3

IdentifierTypeStateIssuer
050468084OtherRIUNITED HEALTH PLANS
401059OtherRIBC/BS OF IL
30033-5OtherRIBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000010 RI Practitioner - Clinical Social Worker 5496704322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Angell Street Psychiatry LTDGroup PAC ID 5496656977, 9 clinicians

Practice addresses (Care Compare)

321 Hope St
Providence, RI 02906-2209
Phone (401) 274-8777

33 College Hill Rd
Suite 29C
Warwick, RI 02886-2775
Phone (401) 822-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW00893RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Angell Street Psychiatry LTD CurrentSince Aug 1, 2002 Accepting new patients

Locations

1524 Atwood Ave
Ste 437
Johnston, RI 02919
Phone (401) 383-9570

33 College Hill Rd
Ste 29C
Warwick, RI 02886
Phone (401) 732-5678

33 College Hill Rd
Bldg 29
Warwick, RI 02886
Phone (401) 738-1239

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1144265422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 COLLEGE HILL RD",
            "address_2": "29C",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862776",
            "telephone_number": "401-822-4673",
            "fax_number": "401-822-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "ST 437",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "02919",
            "telephone_number": "401-383-9570",
            "fax_number": "401-383-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARPACI",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH PLANS",
            "identifier": "050468084",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF IL",
            "identifier": "401059",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "30033-5",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.