Active NPI
Donald Marc Laliberte, L.I.C.S.W.
- Clinical Social Worker
- Pawtucket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01441
- Practice address
- 249 Roosevelt Ave
Suite 205
Pawtucket, RI 02860-2134 - Phone
- (401) 724-8400
- NPI assigned
- Jun 28, 2016
- Sex
- Male
- Sole proprietor
- No
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 | ISW01441 | RI | Primary |
Addresses
Primary practice location
249 Roosevelt Ave
Suite 205
Pawtucket, RI 02860-2134
Mailing address
249 Roosevelt Ave
Suite 205
Pawtucket, RI 02860-2134
Phone (401) 724-8400
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Current | Accepting new patients | |
| Emma Pendleton Bradley Hospital | Current | Accepting new patients | |
| Gateway Healthcare Inc | Current | Accepting new patients | |
| Crossroads Rhode Island | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Emma Pendleton Bradley Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Clinical | Current | Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
1516 Atwood Ave
Johnston, RI 02919
Phone (401) 463-8829
249 Roosevelt Ave
Ste 205
Pawtucket, RI 02860
Phone (401) 667-6518
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
1 Virginia Ave
Ste 200
Providence, RI 02905
593 Eddy St
Providence, RI 02903
1011 Veterans Memorial Pkwy
Riverside, RI 02915
Phone (401) 432-1000
Organizations & group practices 8
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.
-
- Psychiatric Hospital
- Riverside, RI
- NPI 1578768867
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pawtucket, RI
- NPI 1821078932
-
- Pediatrics Physician
- Providence, RI
- NPI 1861420333
-
- Case Management Agency
- Providence, RI
- NPI 1518582246
-
- Psychiatry Physician
- Riverside, RI
- NPI 1073705943
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1174974547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 ROOSEVELT AVE",
"address_2": "SUITE 205",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028602134",
"telephone_number": "401-724-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 ROOSEVELT AVE",
"address_2": "SUITE 205",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028602134",
"telephone_number": "401-724-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALIBERTE",
"first_name": "DONALD",
"middle_name": "MARC",
"credential": "L.I.C.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-28",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01441",
"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 Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.