Gracious Ann Audette, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW01202 Issued in RI

Practice address

7 Rhode Island Ave
Newport, RI 02840-2606

Phone

(401) 846-1213

NPI assigned

Jun 17, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Resonance, LLC

  • Clinical Social Worker
  • Newport, RI
  • NPI 1073855631

  Clinical, RI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1184851065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RHODE ISLAND AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402606",
            "telephone_number": "401-846-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RHODE ISLAND AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402606",
            "telephone_number": "401-846-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDETTE",
        "first_name": "GRACIOUS",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW01202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aquidneck Podiatry LTD
• Aquidneck Radiologists, Inc.
• Art Talk LLC
• Theresa Ashness, RPH, PHARMD
• Betsy Ann Aubuchon, LMT
• Hannah Riley Augur
• Nicholas George Aurora, OTR/L
• Baby Bloom LLC
• Brenda Marcia Bachman, MSW
• Min Joo Bae, NP

• All providers in Newport, RI
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.