Active NPI
Vilna I. Tejeda, MSW, LICSW
- Clinical Social Worker
- Providence, RI
National Provider Identifier
1154683225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW02695
- Practice address
- 1 Richmond SQ
Providence, RI 02906-5139 - Phone
- (401) 288-1002
- NPI assigned
- Jun 13, 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 | ISW02695 | RI | Primary |
Addresses
Primary practice location
1 Richmond SQ
Providence, RI 02906-5139
Mailing address
97 Fairfield Rd
Cranston, RI 02910-5339
Phone (401) 288-1002
Other practice location 1
1061 Pleasant St
New Bedford, MA 02740-6728
Phone (508) 996-8572 ext. 420
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW02695 | RI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1154683225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 FAIRFIELD RD",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029105339",
"telephone_number": "401-288-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RICHMOND SQ",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065139",
"telephone_number": "401-288-1002"
}
],
"practiceLocations": [
{
"address_1": "1061 Pleasant St",
"address_purpose": "LOCATION",
"city": "New Bedford",
"state": "MA",
"postal_code": "027406728",
"country_code": "US",
"telephone_number": "508-996-8572 x420",
"fax_number": "508-992-7166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEJEDA",
"first_name": "VILNA",
"middle_name": "I.",
"name_prefix": "Mrs.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-13",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW02695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.