Individual provider Active NPI

Cheylsea Federle

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1235951468
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW03358 Issued in RI
Practice address
1087 Warwick Ave Rear Unit
Warwick, RI 02888-3545
Phone
(402) 383-2200
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 CSW03358 RI Primary

Addresses

Primary practice location

1087 Warwick Ave Rear Unit
Warwick, RI 02888-3545

Mailing address

1087 Warwick Ave Rear Unit
Warwick, RI 02888-3545
Phone (402) 383-2200

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW03358RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Walker and Assoc, Counseling and Consulting Center Inc. CurrentSince Nov 3, 2024 Accepting new patients

Locations

1087 Warwick Ave
Rear
Warwick, RI 02888
Phone (401) 383-2200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1235951468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 WARWICK AVE REAR UNIT",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883545",
            "telephone_number": "402-383-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 WARWICK AVE REAR UNIT",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883545",
            "telephone_number": "402-383-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERLE",
        "first_name": "CHEYLSEA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW03358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.