Individual provider Active NPI

Brandon St. Pierre, LCSW

  • Clinical Social Worker
  • Woonsocket, RI
National Provider Identifier
1205321981
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW01978 Issued in RI
Practice address
181 Cumberland St
Woonsocket, RI 02895-3301
Phone
(401) 235-7000
NPI assigned
Jun 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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 CSW01978 RI Primary

Addresses

Primary practice location

181 Cumberland St
Woonsocket, RI 02895-3301

Mailing address

PO Box 1700
Woonsocket, RI 02895-0856
Phone (401) 235-7000

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
I20181102000554 RI Practitioner - Clinical Social Worker 5395098628 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Community Action Program Current Accepting new patients
Community Care Alliance CurrentSince Aug 14, 2018 Accepting new patients
East Bay Community Action Program CurrentSince Jan 17, 2022 Accepting new patients
Comprehensive Community Action, Inc. CurrentSince Nov 4, 2019 Accepting new patients
Comprehensive Community Action, Inc CurrentSince Nov 4, 2019 Accepting new patients

Locations

2 Old County Rd
Barrington, RI 02806
Phone (401) 246-1195

1090 Cranston St
Cranston, RI 02920
Phone (401) 467-9610

311 Doric Ave
Cranston, RI 02910
Phone (401) 467-9610

19 Broadway
Newport, RI 02840
Phone (401) 845-0564

100 Bullocks Point Ave
Riverside, RI 02915
Phone (401) 437-1000

610 Wampanoag Trl
Riverside, RI 02915
Phone (401) 431-9870

55 John a Cummings Way
Woonsocket, RI 02895
Phone (401) 766-3330

181 Cumberland St
Woonsocket, RI 02895
Phone (401) 235-7469

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1205321981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1700",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028950856",
            "telephone_number": "401-235-7000",
            "fax_number": "401-767-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CUMBERLAND ST",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953301",
            "telephone_number": "401-235-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. PIERRE",
        "first_name": "BRANDON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW01978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.