Active NPI
Jacklyn Baddeley, LICSW
- Clinical Social Worker
- Middletown, RI
National Provider Identifier
1194877977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW01944
- Practice address
- 76 Hammarlund Way
Child & Family, Tech 3
Middletown, RI 02842-5640 - Phone
- (401) 845-2270
- NPI assigned
- Jan 18, 2007
- Last updated
- Oct 31, 2008
- Sex
- Female
- 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 | ISW01944 | RI | Primary |
Addresses
Primary practice location
76 Hammarlund Way
Child & Family, Tech 3
Middletown, RI 02842-5640
Mailing address
24 School Street
Child & Family
Newport, RI 02840
Phone (401) 487-4296
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 |
|---|---|---|---|
| ISW01944 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Services of Newport County | Past | Accepting new patients | |
| Child & Family Services of Newport County | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Newport, RI
- NPI 1194940437
-
dba Child & Family (DBA)
- Clinic/Center
- Middletown, RI
- NPI 1063425189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1194877977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SCHOOL STREET",
"address_2": "CHILD & FAMILY",
"city": "NEWPORT",
"state": "RI",
"postal_code": "02840",
"telephone_number": "401-487-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 HAMMARLUND WAY",
"address_2": "CHILD & FAMILY, TECH 3",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028425640",
"telephone_number": "401-845-2270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADDELEY",
"first_name": "JACKLYN",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.