Individual provider Active NPI

Jessica K Horne, LCSW

  • Clinical Social Worker
  • Middletown, RI
National Provider Identifier
1184447104
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW03942 Issued in RI
Practice address
42 Valley Rd
Middletown, RI 02842-6400
Phone
(401) 843-1213
Fax
(401) 848-6398
NPI assigned
Nov 7, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 CSW03942 RI Primary

Addresses

Primary practice location

42 Valley Rd
Middletown, RI 02842-6400

Mailing address

42 Valley Rd
Middletown, RI 02842-6400
Phone (401) 843-1213

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
I20241127001458 RI Practitioner - Clinical Social Worker 7719412766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport County Community Mental Health Center, Inc.Group PAC ID 9830089812, 28 clinicians

Practice addresses (Care Compare)

42 Valley Rd
Middletown, RI 02842-6400
Phone 4018461213117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newport County Community Mental Health Center, Inc CurrentSince Oct 14, 2024 Accepting new patients

Locations

42 Valley Rd
Middletown, RI 02842
Phone (401) 843-1213

65 Valley Rd
Middletown, RI 02842
Phone 40184612131117

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1184447104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426400",
            "telephone_number": "401-843-1213",
            "fax_number": "401-848-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426400",
            "telephone_number": "401-843-1213",
            "fax_number": "401-848-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "JESSICA",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW03942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

Verify at the official NPI Registry.