Individual provider Active NPI

Dale Robin Belluscio, LISW-CP

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1255466520
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15938 Issued in SC
Practice address
300 Toll Gate Rd Ste 300
Warwick, RI 02886-4416
Phone
(401) 467-0333
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW01887 RI
Clinical Social Worker 1041C0700X 15938 SC Primary

Addresses

Primary practice location

300 Toll Gate Rd Ste 300
Warwick, RI 02886-4416

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice location 1

70 Jefferson Blvd
Ste 200
Warwick, RI 02888-1057
Phone (401) 744-0877

Other practice location 2

597 Old Mount Holly Rd Ste 300
Goose Creek, SC 29445-2832
Phone (843) 501-1099

Other practice location 3

501 Wampanoag Trl Unit 400
Riverside, RI 02915-1507
Phone (401) 785-0040

Other identifiers 1

IdentifierTypeStateIssuer
DB61395MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090209000551 RI Practitioner - Clinical Social Worker 7911062898 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Warwick, RI
I20230807002464 SC Practitioner - Clinical Social Worker 7911062898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Psychiatry, Inc.Group PAC ID 5294173464, 90 clinicians
Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

Practice addresses (Care Compare)

300 Toll Gate Rd
Suite 300
Warwick, RI 02886-4416
Phone (401) 467-0333

597 Old Mount Holly Rd
Suite 300
Goose Creek, SC 29445-2832
Phone (843) 501-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15938SCMDClinical Social Worker
15983SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychiatry, Inc. Clinical CurrentSince Jun 1, 2024 Accepting new patients
Charleston Counseling Center PC Clinical CurrentSince Jun 26, 2023 Accepting new patients
Greenwood Psychotherapy and Wellness Center LLC Clinical Current Accepting new patients
Greenwood Psychotherapy Clinical PastSince May 20, 2015 Accepting new patients
Myrtle Beach Counseling Center PastSince Aug 6, 2019 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

989 Reservoir Ave
Ste 101
Cranston, RI 02910
Phone (401) 572-3313

501 Wampanoag Trl
Unit 400
Riverside, RI 02915
Phone (508) 207-8819

1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830

597 Old Mount Holly Rd
Ste 300
Goose Creek, SC 29445
Phone (855) 900-7318

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.dalebelluscio@151046.advancedmd-direct.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1255466520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TOLL GATE RD STE 300",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864416",
            "telephone_number": "401-467-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 JEFFERSON BLVD",
            "address_2": "STE 200",
            "address_purpose": "LOCATION",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881057",
            "country_code": "US",
            "telephone_number": "401-744-0877",
            "fax_number": "401-737-2777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "597 Old Mount Holly Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294452832",
            "country_code": "US",
            "telephone_number": "843-501-1099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Wampanoag Trl Unit 400",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029151507",
            "country_code": "US",
            "telephone_number": "401-785-0040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLUSCIO",
        "first_name": "DALE",
        "middle_name": "ROBIN",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01887",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "15938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DB61395",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.